OCCTH 585 Final Exams Study Set | Questions
with Complete Answers
ASIA impairment scale - ✔✔A - complete, no motor or sensory
B - incomplete, sensory preserved (no motor)
C - incomplete, motor preserved (>50% muscle grade less than 3)
D - incomplete, motor preserved (>50% muscle grade 3+)
E - normal
C4 - ✔✔- some resp issues (unable to cough), not usually on vent
- have control of diaphragm, trapezius
- communication - computer, environmental control unit
- require transportation and access
- need 24 hour care
C5 - ✔✔- shoulder abduction, elbow flexion, supination
- eating - universal cuff, plate guard, cup holder, straw
- able to assist with upper extremity dressing and grooming
- independence with eating, drinking, face washing, tooth brushing, shaving, hair care,
with set-up and equipment
,C7 - ✔✔- elbow extension, wrist flexion, shoulder abduction, elbow flexion,
supination
- manual wheelchair possible
- more ease with household transfers, wheelchair pushups, and pressure relief
- less adaptive equipment needed
- fatigue easily
T6 - ✔✔- finger flexors, abductors
- upper extremity control
- better rib, chest and trunk control as higher thoracic levels are innervated
- independent with ADL (with AT)
- minimal assistance - independent with bowel and bladder
- manual wheelchair
- transfer with transfer board
- hand controls in car
T10 - ✔✔- paraplegic ambulation
- have capability walking
- added function with increased abdominal muscle control
- improved pulmonary and cough control
- increased ability to perform unsupported seating activities (ex. bending over to pick
something up off the floor)
right CVA - ✔✔- visual-spatial perceptual disorders (ex. neglect, constructional
apraxia)
- emotional disorders (impulsivity, liability, depression)
,- communication - difficult using language effectively, taking turns in convo may be
impacted
- lack of insight into own deficits
- may be unaware of people or cars approaching from left
- stair climbing and independent sitting impacted
- may only attend to one side for dressing, grooming, eating
left CVA - ✔✔- aphasia (expressive is most common)
- apraxia (speech, gait, dressing)
- emotional disorders
- difficulty walking, dressing, communicating, transfering
- ADLs are impacted
MCA stroke - ✔✔- impacts sensory, motor and cognition
- expect more impact on arm, hand, face and speech
- contralateral hemisensory loss
- hemiplegia
- visual field deficits
- apraxia
- perseveration
- poor judgement
- emotional problems
- apathy
PCA stroke - ✔✔- perceptual deficits (alexia, anomia, visual agnosia, prosopagnosia)
- memory impairment
, - homonumous hemianopsia
ACA stroke - ✔✔- impacts motor and sensory - mainly legs, bowel, bladder and
shoulder
- behavioural disturbances if frontal lobe involvement
- apraxia
- contralateral hemisensory loss
- hemiparesis (worst in foot; legs and shoulder also impacted)
- inertia of speech or mutism affecting communication
aphasia - ✔✔an acquired impairment of language caused by damage to neural
regions important for language processing - most commonly due to a left MCA stroke
fluent aphasia - ✔✔- often not associated with physical impairments
- usually left PCA stroke (Wernicke's area)
- relatively well-formed sentences, but with sound errors and word substitutions
- poor comprehension - may be unaware of deficits
non-fluent aphasia - ✔✔- presents with concomitant physical impairments such as
right hemiparesis
- usually due to right MCA stroke (Broca's area)
- telegraphic speech - produce fewer words than normal
- speech is slow and effortful
- relatively good comprehension
- generally aware of deficits (frustration, depression)
with Complete Answers
ASIA impairment scale - ✔✔A - complete, no motor or sensory
B - incomplete, sensory preserved (no motor)
C - incomplete, motor preserved (>50% muscle grade less than 3)
D - incomplete, motor preserved (>50% muscle grade 3+)
E - normal
C4 - ✔✔- some resp issues (unable to cough), not usually on vent
- have control of diaphragm, trapezius
- communication - computer, environmental control unit
- require transportation and access
- need 24 hour care
C5 - ✔✔- shoulder abduction, elbow flexion, supination
- eating - universal cuff, plate guard, cup holder, straw
- able to assist with upper extremity dressing and grooming
- independence with eating, drinking, face washing, tooth brushing, shaving, hair care,
with set-up and equipment
,C7 - ✔✔- elbow extension, wrist flexion, shoulder abduction, elbow flexion,
supination
- manual wheelchair possible
- more ease with household transfers, wheelchair pushups, and pressure relief
- less adaptive equipment needed
- fatigue easily
T6 - ✔✔- finger flexors, abductors
- upper extremity control
- better rib, chest and trunk control as higher thoracic levels are innervated
- independent with ADL (with AT)
- minimal assistance - independent with bowel and bladder
- manual wheelchair
- transfer with transfer board
- hand controls in car
T10 - ✔✔- paraplegic ambulation
- have capability walking
- added function with increased abdominal muscle control
- improved pulmonary and cough control
- increased ability to perform unsupported seating activities (ex. bending over to pick
something up off the floor)
right CVA - ✔✔- visual-spatial perceptual disorders (ex. neglect, constructional
apraxia)
- emotional disorders (impulsivity, liability, depression)
,- communication - difficult using language effectively, taking turns in convo may be
impacted
- lack of insight into own deficits
- may be unaware of people or cars approaching from left
- stair climbing and independent sitting impacted
- may only attend to one side for dressing, grooming, eating
left CVA - ✔✔- aphasia (expressive is most common)
- apraxia (speech, gait, dressing)
- emotional disorders
- difficulty walking, dressing, communicating, transfering
- ADLs are impacted
MCA stroke - ✔✔- impacts sensory, motor and cognition
- expect more impact on arm, hand, face and speech
- contralateral hemisensory loss
- hemiplegia
- visual field deficits
- apraxia
- perseveration
- poor judgement
- emotional problems
- apathy
PCA stroke - ✔✔- perceptual deficits (alexia, anomia, visual agnosia, prosopagnosia)
- memory impairment
, - homonumous hemianopsia
ACA stroke - ✔✔- impacts motor and sensory - mainly legs, bowel, bladder and
shoulder
- behavioural disturbances if frontal lobe involvement
- apraxia
- contralateral hemisensory loss
- hemiparesis (worst in foot; legs and shoulder also impacted)
- inertia of speech or mutism affecting communication
aphasia - ✔✔an acquired impairment of language caused by damage to neural
regions important for language processing - most commonly due to a left MCA stroke
fluent aphasia - ✔✔- often not associated with physical impairments
- usually left PCA stroke (Wernicke's area)
- relatively well-formed sentences, but with sound errors and word substitutions
- poor comprehension - may be unaware of deficits
non-fluent aphasia - ✔✔- presents with concomitant physical impairments such as
right hemiparesis
- usually due to right MCA stroke (Broca's area)
- telegraphic speech - produce fewer words than normal
- speech is slow and effortful
- relatively good comprehension
- generally aware of deficits (frustration, depression)
