OCCTH 585 LAB CONTENT WITH COMPLETE SOLUTIONS

OCCTH 585 LAB CONTENT WITH
COMPLETE SOLUTIONS
Proper positioning reduces the risk of? - ANSWER-- contractures
- edema
- aspiration
- pressure injuries
- pain
- shoulder subluxation

With a stroke, what area of the body always need to be supported? - ANSWER-
shoulder

Stage 1: Chedoke - ANSWER-Flaccid paralysis, no movement

Stage 2: Chedoke - ANSWER-spasticity begins, able to facilitate or minimal movement

Stage 3: Chedoke - ANSWER-spasticity is marked, movement with synergy patterns

What is the recovery progression from lower functioning arm to higher functioning arm?
- ANSWER-individual uses the affected upper limb for stabilization --> individual uses
the affected upper limb for *stabilization and manipulation*

Chedoke Stage 4 - ANSWER-spasticity decreases, some synergies can be reversed,
can do more complex movements

Chedoke Stage 5 - ANSWER-Spasticity is decreased, spasticity is only present with
rapid movements or at extreme end ranges

Chedoke Stage 6 - ANSWER-Coordination and patterns of movement are near normal

Chedoke Stage 7 - ANSWER-Normal movement

What is the traditional protocol for CIMT? - ANSWER-- unaffected hand is constrained
for 90% of a day
- unaffected hand can only be used for toileting and self-hygiene
- done for 2-3 weeks

What is modified CIMT? - ANSWER-the unaffected hand is restrained for 3 hours per
day, 5 days per week (usually done for 4 weeks)

Guidelines for selecting patients to do CIMT - ANSWER-- minimal sensory or cognitive
deficits