Gillen Stroke Rehab - ACTIVITY ANALYSIS OF SELECT UPPER EXTREMITY TASKS QUESTIONS WITH COMPLETE SOLUTIONS

*Reaching Task/Open Chain Activity* correct answer: The reaching task described requires the patient to reach for a book on a shelf that is at forehead level. First, initiation of any movement pattern requires a motivational drive to perform; therefore, the activity must have an inherent purpose. The motivation behind and purpose of this activity may be to further knowledge, enhance leisure time, or pass a midterm examination. *Weight-Bearing Task/Closed Chain Activity* correct answer: The weight-bearing task described requires the patient to use one arm as a postural support (i.e., extended-arm weight-bearing to support function) on a kitchen table while the other arm and hand wipe the table. As mentioned previously, motivation and purpose are required. SELECTED EVALUATION TOOLS correct answer: MOtor Activity Log - Self Report Manual Ability Measure (MAM 36) - self report ABILHAND Questionnaire - self report Assessment of Motor and Process Skills Arm Motor Ability Test Wolf Motor Function Test Cherokee Arm and Hand Actiity Inventory Jebsen Test of Hand Function Action Research Arm Test Motor Assessment scale Box and Block Test Nine Hole Peg Test Functional Test for the Hemiplegic/Paretic UE UE Performance Test or the Elderly Frenchay Arm Test Motricity Index Rivermead Motor Assessment (arm Section) Fugl-Meyer Assessment (UE Motor function) Motor Activity Log (Self-Report) The Motor Activity Log is a self-report questionnaire (report by patient or family) related to actual use of the involved upper extremity outside of structured therapy time. correct answer: It uses a semistructured interview format. Quality of movement ("How well" scale) and amount of use ("How much" scale) are graded on a 6-point scale. At present, there are 14-, 28-, and 30-item versions of the tool. Sample items include hold a book, use a towel, pick up a glass, write/type, and steady myself, etc.198-201 Manual Ability Measure (MAM-36) (Self-Report) The 36-item Manual Ability Measure (MAM-36) is a new Rasch-developed, self-report disability outcome measure. It contains 36 gender-neutral, commonly performed everyday hand tasks. The patient is asked to report the ease or difficulty of performing such items. correct answer: It uses a 4-point rating scale, with 1 indicating "Unable" (I am unable to do the task all by myself), 2 indicating "Very hard" (It is very hard for me to do the task and I usually ask others to do it for me unless no one is around), 3 indicating "A little hard" (I usually do the task myself, although it takes longer or more effort now than before), and 4 indicating "Easy" (I can do the task without any problem). The MAM-36 can be accessed 56 A look-up table from raw scores to converted 0-100 Rasch measures is available. Assessment of Motor and Process Skills The therapists evaluate motor and process skills within the context of basic ADL and instrumental activities of daily living (IADL). The quality of the person's ADL performance is assessed by rating the effort, efficiency, safety, and independence of 16 ADL motor and 20 ADL process skill items, while the person is doing chosen, familiar, and life-relevant ADL tasks. There are more than 100 tasks to choose from, thus promoting correct answer: a client-centered approach to assessment. Examples of evaluated motor skills include posture, mobility, coordination, strength, reach, manipulation, grip, lifting, effort, and energy expenditure (see Chapter 6). Wolf Motor Function Test The Wolf Motor Function Test has been used to document the outcomes related to CIMT and includes a variety of tasks such as basic reaching tasks (e.g., lifting arm from lap to table,