OCCTH 585 - LAB NOTES
You are assessing for cerebellar problems and ask your client to fully extend their arm,
then touch their nose, then fully extend again to touch your finger. What test is your
client engaging in? What does this test assess? - ANSWER-- Finger-nose
- Dysmetria, the poor coordination when reaching through space
What is dysdiadochkinesis? What is it related to? - ANSWER-- The inability to perform
alternating rapid movements
- Cerebellar function
True or False: Atrophy isn't often seen in acute care because enough time generally
hasn't passed for atrophy to occur - ANSWER-True
True or False: Dystrophy usually occurs from disuse and can sometimes be
reversed/treated - ANSWER-False: Atrophy usually occurs from disuse, dystrophy is a
wasting disease
What is the name of the phenomenon in which a person looks angry or sad due to a
lack of neurological control of the face? What disease is it common in? - ANSWER--
Masking
- Parkinson's disease
This symptom might present as droopy eyelids, slowed facial movement, decreased
ROM, having the mouth slightly open, and/or difficulty handling secretions/food. -
ANSWER-What is hypotonia
True or False: Sensory awareness early on is a good prognosis indicator - ANSWER-
True
If communication is compromised, what impact may this have on sensory assessment?
- ANSWER-Sensory assessment might not be valid if communication is compromised
What are the three areas of assessment of the Nottingham sensory assessment? -
ANSWER-1) Tactile sensation
2) Kinaesthetic sensations: tests appreciation of movement
3) Stereognosis
Light touch, pressure, pinprick, temperature, tactile localization, and bilateral
simultaneous touch are all types of what kind of sensation? - ANSWER-Tactile
sensation
What are three general areas of assessment? - ANSWER-1. Physical
2. Sensory
, 3. Cognitive
What should be the first thing assessed in cognitive assessements? - ANSWER-
Orientation (x3) - person, place, and time
When is level of alertness generally impaired in brain injury/stroke? - ANSWER-Early on
post-injury/CVA
What is the name for impaired motor components of speech? - ANSWER-Dysarthria
Which of the following is not an early sign of perceptual problems?
A) Strong neglect
B) Crossing midline
C) Depth perception issues
D) Difficulty turning - ANSWER-B) Crossing midline
What is the difference between agnosia and apraxia? - ANSWER-- Agnosia- is the
inability to recognize objects, people, or sounds through one or more of the senses
- Apraxia - is the loss of ability to carry out skilled motor movements or gestures despite
having the desire and physical ability to do them
True or False: regarding affect post-TBI and/or CVA, some patients may be emotionally
labile and experience frustration tolerance changes - ANSWER-True
True or False: Cognition and affect are interrelated - ANSWER-True
What is the biggest determining factor when going home after stroke? - ANSWER-
Social support
In what two areas do you want to provide your clients with tasks that are optimally
challenging? - ANSWER-Motor and cognitive demands
In the early stages of recovery (Chedoke stages 1-3), which of the following is untrue:
A) The arm is at high risk of injury and developing pain
B) The focus of therapy in the acute stage after stroke is preventing pain/protection and
stimulating recovery/strength
C) The focus of therapy in chronic/later stage after stroke is working on compensation
strategies (one-handed dressing, cooking, use of AT), and maintaining functional ROM
D) Education is also very important for the family only, with a focus on positioning and
preventing pain, edema, and subluxation - ANSWER-D) Education is also very
important for the family only, with a focus on positioning and preventing pain, edema,
and subluxation
Education for both the family and the patient is important
You are assessing for cerebellar problems and ask your client to fully extend their arm,
then touch their nose, then fully extend again to touch your finger. What test is your
client engaging in? What does this test assess? - ANSWER-- Finger-nose
- Dysmetria, the poor coordination when reaching through space
What is dysdiadochkinesis? What is it related to? - ANSWER-- The inability to perform
alternating rapid movements
- Cerebellar function
True or False: Atrophy isn't often seen in acute care because enough time generally
hasn't passed for atrophy to occur - ANSWER-True
True or False: Dystrophy usually occurs from disuse and can sometimes be
reversed/treated - ANSWER-False: Atrophy usually occurs from disuse, dystrophy is a
wasting disease
What is the name of the phenomenon in which a person looks angry or sad due to a
lack of neurological control of the face? What disease is it common in? - ANSWER--
Masking
- Parkinson's disease
This symptom might present as droopy eyelids, slowed facial movement, decreased
ROM, having the mouth slightly open, and/or difficulty handling secretions/food. -
ANSWER-What is hypotonia
True or False: Sensory awareness early on is a good prognosis indicator - ANSWER-
True
If communication is compromised, what impact may this have on sensory assessment?
- ANSWER-Sensory assessment might not be valid if communication is compromised
What are the three areas of assessment of the Nottingham sensory assessment? -
ANSWER-1) Tactile sensation
2) Kinaesthetic sensations: tests appreciation of movement
3) Stereognosis
Light touch, pressure, pinprick, temperature, tactile localization, and bilateral
simultaneous touch are all types of what kind of sensation? - ANSWER-Tactile
sensation
What are three general areas of assessment? - ANSWER-1. Physical
2. Sensory
, 3. Cognitive
What should be the first thing assessed in cognitive assessements? - ANSWER-
Orientation (x3) - person, place, and time
When is level of alertness generally impaired in brain injury/stroke? - ANSWER-Early on
post-injury/CVA
What is the name for impaired motor components of speech? - ANSWER-Dysarthria
Which of the following is not an early sign of perceptual problems?
A) Strong neglect
B) Crossing midline
C) Depth perception issues
D) Difficulty turning - ANSWER-B) Crossing midline
What is the difference between agnosia and apraxia? - ANSWER-- Agnosia- is the
inability to recognize objects, people, or sounds through one or more of the senses
- Apraxia - is the loss of ability to carry out skilled motor movements or gestures despite
having the desire and physical ability to do them
True or False: regarding affect post-TBI and/or CVA, some patients may be emotionally
labile and experience frustration tolerance changes - ANSWER-True
True or False: Cognition and affect are interrelated - ANSWER-True
What is the biggest determining factor when going home after stroke? - ANSWER-
Social support
In what two areas do you want to provide your clients with tasks that are optimally
challenging? - ANSWER-Motor and cognitive demands
In the early stages of recovery (Chedoke stages 1-3), which of the following is untrue:
A) The arm is at high risk of injury and developing pain
B) The focus of therapy in the acute stage after stroke is preventing pain/protection and
stimulating recovery/strength
C) The focus of therapy in chronic/later stage after stroke is working on compensation
strategies (one-handed dressing, cooking, use of AT), and maintaining functional ROM
D) Education is also very important for the family only, with a focus on positioning and
preventing pain, edema, and subluxation - ANSWER-D) Education is also very
important for the family only, with a focus on positioning and preventing pain, edema,
and subluxation
Education for both the family and the patient is important
