LSVT BIG COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔module 15 - ✔✔module 15
✔✔with a pt in late stage PD, you may need to add more treatment weeks/sessions
beyond the initial 4 weeks (minimum of 16 sessions) of the protocol to work towards
meeting your goals - ✔✔true
✔✔the primary reason that you may adapt an exercise for a patient would be: - ✔✔to
eliminate the fear of falling and allow your pateint to feel successful
✔✔your patient, who has later stage PD is taking a long time to get through all of the
repititions of the exercises. Your best response is to: - ✔✔decrease the amount of
repititions of each of the exercises to allow you to get to all aspects of the treatmnet
sessions
✔✔LSVT Big is contraindicated for patients with:
deep brain stimulation
atypical parkinsons
orthopedic issues
none of the above - ✔✔none of the above
✔✔module 16 - ✔✔moduel 16
✔✔your patient is doing the step and reach forward exercise and is not able to get their
stepping foot all the way back to start positions despite your cueing. You decide to use
a piece of tape on the floor to give a visual cue of where to step back to. Given this
stategy is working well, you decide to: - ✔✔use this temporarily to help teach your
patient the right step size, emphasize the bigness and effort to achieve that step size,
and then remove the tape as soon as possible so he/she does not become reliant on it
, ✔✔your patient is using a unilateral support chair to do their step and reach exercises.
he finishes doing this on the left side and because he is right-handed, you can just let
him switch to stepping on the right side without changing the hand that is holding onto
the chair... - ✔✔false
✔✔module 17 - ✔✔module 17
✔✔youve adapted the step and reach backwards exercise with a unilateral support for a
patient who is unstable. despite doing this, every time the patient steps back they fail to
reach back with their free arm. which treatment strategy would NOT be appropriate ?
go over the pt and assist with tactile facilitation of moving their arm back to the proper
position during the exercise
break the exercise down into upper and lower body components and practice seperately
do some additional modeling for the patient, cue them to watch what you do with your
arm and try to do same - ✔✔just worry about the stepping movement, the arm reach is
not all important
✔✔common ways to adapt exercises for more advanced stages of parkinsons are:
use unilateral or bilateral support during exercise
break the exercise down into upper and lower body components
do the exercise in less distractible environmnet - ✔✔all the above
✔✔once you adapt the exercises to sitting, the patient will alwaysneed to do them in
sitting - ✔✔false
✔✔module 18 - ✔✔module 18
✔✔your patient who is in her 3rd week of treatment is doing very well. with all of her
maximal daily exercises. you should: - ✔✔increase the repitions, add weight or other
dual task challenges to continue to maximally stimulate her
✔✔in your second week of treatment you add a cognitive challenge to your patients
maximal daily exercises. because of this addition, she is having a really difficul time
keeping her movements big. recommended options to address this issue include of all
of the following except:
keep focus on amplitude by discontinuing the cognitive challenge for now
try a different type of dual task challenge such adding resistance or increase repititions
and evaluate the impact on her amplitude movements
QUESTIONS SET A+
✔✔module 15 - ✔✔module 15
✔✔with a pt in late stage PD, you may need to add more treatment weeks/sessions
beyond the initial 4 weeks (minimum of 16 sessions) of the protocol to work towards
meeting your goals - ✔✔true
✔✔the primary reason that you may adapt an exercise for a patient would be: - ✔✔to
eliminate the fear of falling and allow your pateint to feel successful
✔✔your patient, who has later stage PD is taking a long time to get through all of the
repititions of the exercises. Your best response is to: - ✔✔decrease the amount of
repititions of each of the exercises to allow you to get to all aspects of the treatmnet
sessions
✔✔LSVT Big is contraindicated for patients with:
deep brain stimulation
atypical parkinsons
orthopedic issues
none of the above - ✔✔none of the above
✔✔module 16 - ✔✔moduel 16
✔✔your patient is doing the step and reach forward exercise and is not able to get their
stepping foot all the way back to start positions despite your cueing. You decide to use
a piece of tape on the floor to give a visual cue of where to step back to. Given this
stategy is working well, you decide to: - ✔✔use this temporarily to help teach your
patient the right step size, emphasize the bigness and effort to achieve that step size,
and then remove the tape as soon as possible so he/she does not become reliant on it
, ✔✔your patient is using a unilateral support chair to do their step and reach exercises.
he finishes doing this on the left side and because he is right-handed, you can just let
him switch to stepping on the right side without changing the hand that is holding onto
the chair... - ✔✔false
✔✔module 17 - ✔✔module 17
✔✔youve adapted the step and reach backwards exercise with a unilateral support for a
patient who is unstable. despite doing this, every time the patient steps back they fail to
reach back with their free arm. which treatment strategy would NOT be appropriate ?
go over the pt and assist with tactile facilitation of moving their arm back to the proper
position during the exercise
break the exercise down into upper and lower body components and practice seperately
do some additional modeling for the patient, cue them to watch what you do with your
arm and try to do same - ✔✔just worry about the stepping movement, the arm reach is
not all important
✔✔common ways to adapt exercises for more advanced stages of parkinsons are:
use unilateral or bilateral support during exercise
break the exercise down into upper and lower body components
do the exercise in less distractible environmnet - ✔✔all the above
✔✔once you adapt the exercises to sitting, the patient will alwaysneed to do them in
sitting - ✔✔false
✔✔module 18 - ✔✔module 18
✔✔your patient who is in her 3rd week of treatment is doing very well. with all of her
maximal daily exercises. you should: - ✔✔increase the repitions, add weight or other
dual task challenges to continue to maximally stimulate her
✔✔in your second week of treatment you add a cognitive challenge to your patients
maximal daily exercises. because of this addition, she is having a really difficul time
keeping her movements big. recommended options to address this issue include of all
of the following except:
keep focus on amplitude by discontinuing the cognitive challenge for now
try a different type of dual task challenge such adding resistance or increase repititions
and evaluate the impact on her amplitude movements
