PHTY3140 W1 - PHYSIOTHERAPY ASSESSMENT OF
ADULTS WITH NEUROLOGICAL DISORDERS
What are the 3 main objectives of the process of assessment? - Answers -
Identification of specific impairments that interfere with movement quality, the ability to
perform functional activities, and restrict ADL participation
Summarise the main stage of the Neurological Physiotherapy Assessment Process. -
Answers - Gather info from client records; Initial observations; interview; functional task
analysis; impairment assessment; objective outcome assessment; gather info from HCP
team; determine a problem list
When carrying out an initial observation, what should you look out for upon immediately
seeing the patient? - Answers - Level of awareness, appearance, posture, skin colour,
skin condition, oedema
During a patient interview, you should check your patient's understanding of the
following: - Answers - Their presenting concern; the perception of their current level of
function; ability to participate in daily routines; perception of treatment goals and
associated issues
Name 7 key items to include in your neuro patient interview. - Answers - Any existing
medical conditions affecting treatment, vision, sensation, pain, hand dominance, social
history, previous level of function
When transitioning from the SE to the OE, the patient may need to transfer to the plinth.
Before the transfer, what do you need to do? - Answers - Decide on an appropriate
method of transfer and quickly assess active mvts of ULs, LLs, and trunk
If the patient can transfer themselves from the chair to the plinth (1S), what should you
observe during the transfer? - Answers - Their posture, balance, weight shift,
movement of affected side, effect of effort on movement
The first step of the neuro OE is always... - Answers - Functional Task Analysis
What is a Functional Task Analysis? - Answers - Observation of functional movement
& deviations from normal/expected; analyse the components of the task that are poor or
absent, and decide why the movement is abnormal
What should you watch for during voluntary movement? - Answers - Determine
amount & quality of movement produced; consider antigravity, assistance required
What is movement selectivity? - Answers - Is the patient able to selectively activate an
isolate muscle or do they need to cocontract
ADULTS WITH NEUROLOGICAL DISORDERS
What are the 3 main objectives of the process of assessment? - Answers -
Identification of specific impairments that interfere with movement quality, the ability to
perform functional activities, and restrict ADL participation
Summarise the main stage of the Neurological Physiotherapy Assessment Process. -
Answers - Gather info from client records; Initial observations; interview; functional task
analysis; impairment assessment; objective outcome assessment; gather info from HCP
team; determine a problem list
When carrying out an initial observation, what should you look out for upon immediately
seeing the patient? - Answers - Level of awareness, appearance, posture, skin colour,
skin condition, oedema
During a patient interview, you should check your patient's understanding of the
following: - Answers - Their presenting concern; the perception of their current level of
function; ability to participate in daily routines; perception of treatment goals and
associated issues
Name 7 key items to include in your neuro patient interview. - Answers - Any existing
medical conditions affecting treatment, vision, sensation, pain, hand dominance, social
history, previous level of function
When transitioning from the SE to the OE, the patient may need to transfer to the plinth.
Before the transfer, what do you need to do? - Answers - Decide on an appropriate
method of transfer and quickly assess active mvts of ULs, LLs, and trunk
If the patient can transfer themselves from the chair to the plinth (1S), what should you
observe during the transfer? - Answers - Their posture, balance, weight shift,
movement of affected side, effect of effort on movement
The first step of the neuro OE is always... - Answers - Functional Task Analysis
What is a Functional Task Analysis? - Answers - Observation of functional movement
& deviations from normal/expected; analyse the components of the task that are poor or
absent, and decide why the movement is abnormal
What should you watch for during voluntary movement? - Answers - Determine
amount & quality of movement produced; consider antigravity, assistance required
What is movement selectivity? - Answers - Is the patient able to selectively activate an
isolate muscle or do they need to cocontract
