Rehabilitation and Therapy Neurological Rehabilitation 2 — Questions and Answers
Question 1: What is the primary rehabilitation focus in the acute stage of Guillain-Barré syndrome (GBS)?
- Prevent complications of immobility while monitoring respiratory function (Correct answer)
- Aggressive strengthening exercises
- Balance retraining on unstable surfaces
- Return to work planning
Correct answer: Prevent complications of immobility while monitoring respiratory function
During the acute, progressive phase of GBS, rehabilitation focuses on preventing pressure injuries, contractures, and DVT while closely monitoring for respiratory compromise.
Question 2: Which symptom triad is classic for Parkinson's disease?
- Resting tremor, rigidity, and bradykinesia (Correct answer)
- Intention tremor, ataxia, and nystagmus
- Spasticity, clonus, and hyperreflexia
- Chorea, athetosis, and ballismus
Correct answer: Resting tremor, rigidity, and bradykinesia
The cardinal motor features of Parkinson's disease are resting tremor (pill-rolling), cogwheel rigidity, and bradykinesia (slowness of movement).
Question 3: LSVT BIG is a rehabilitation program specifically designed for patients with which condition?
- Parkinson's disease — targeting amplitude of movement (Correct answer)
- Multiple sclerosis — targeting fatigue
- Stroke — targeting hemiplegia
- Cerebral palsy — targeting spasticity
Correct answer: Parkinson's disease — targeting amplitude of movement
LSVT BIG is an intensive, standardized physical/occupational therapy program that trains Parkinson's patients to make larger movements to counteract hypokinesia.
Question 4: Which complication is most common in patients with complete cervical spinal cord injury (C4 and above)?
- Respiratory failure requiring ventilatory support (Correct answer)
- Isolated lower extremity paralysis
- Monoplegia of dominant arm
- Loss of sensation below the waist only
Correct answer: Respiratory failure requiring ventilatory support
Injuries at C4 and above impair phrenic nerve innervation of the diaphragm, resulting in respiratory insufficiency and often requiring mechanical ventilation.
Question 5: What is heterotopic ossification (HO) in neurological rehabilitation?
- Abnormal bone formation in soft tissues around joints following SCI or TBI (Correct answer)
- Osteoporosis secondary to immobility
- Fracture non-union at a previous injury site
- Joint dislocation due to spasticity
Correct answer: Abnormal bone formation in soft tissues around joints following SCI or TBI
HO is the formation of lamellar bone in periarticular soft tissues, commonly occurring around the hip and knee in patients with SCI or TBI, causing pain and restricted motion.
Question 6: Which balance test requires patients to stand on one leg for 10 seconds and is predictive of fall risk in older adults?
- Single-leg stance test (Correct answer)
- Romberg test
- Berg Balance Scale
- Timed Up and Go (TUG) test
Correct answer: Single-leg stance test
Inability to stand on one leg for 10 seconds has been shown to predict falls and increased mortality risk in middle-aged and older adults.
Rehabilitation and Therapy Neurological Rehabilitation 2
What is the primary rehabilitation focus in the acute stage of Guillain-Barré syndrome (GBS)?