OTP551 MIDTERM QUIZ QUESTIONS & ANSWERS
As stated in the Paris & Murray-Slutsky article, the Bobaths believed it is important to
incorporate sensory experiences into their NDT facilitation techniques. The sensory
systems the NDT approach incorporates include: - Answers - All of the above
(Tactile, Proprioception, Vestibular)
Which of the following is a common compensatory strategy used by children with
cerebral palsy while reaching and grasping? - Answers - Excessive trunk movements
including trunk extension and lateral flexion
Which of the following is considered a secondary impairment in children diagnosed with
cerebral palsy? - Answers - Joint contracture
Which approach has the most evidence to support its use in occupational therapy for
children with cerebral palsy - Answers - Motor Control
What type of intervention approach is being used when the therapist recommends a
zipper pull to allow a child with cerebral palsy to put on his own coat? - Answers -
Adaptive
In the posted article by Paris & Murray-Slutsky, the authors acknowledge specialized
training is needed in the use of the treatment strategies, NDT and SI, particularly when
working with a significantly neurologically involved patient. The way these authors
describe use of the two frames of reference in treatment, is most similar to which of the
"applications of frames of reference" which was reviewed in class lecture last week and
described in the Kramer & Hinojosa text? - Answers - Frames of reference in parallel
What is not a cause of cerebral palsy in children - Answers - Socioeconomic status
How do serial static splints lengthen tissues and correct deformity - Answers -
Application of gentle forces sustained for extended periods of time
According to the medical record, Jenny had damage to her primary motor cortex during
birth trauma. She has been receiving OT, PT, and SLP since birth. The therapist
observed the following during the initial evaluation: Abnormal movements and atypical
reflexes present (i.e. ATNR); Hypertonicity in her arms with spasticity greater in her right
bicep, wrist flexors, and thumb adductor; Hypertonicity in her legs with spasticity greater
in hip adductors, hamstrings, and gastroc/soleus; Delayed or absent righting and
equilibrium responses. What type of cerebral palsy does Jenny have? - Answers -
Spastic
Which type of medical intervention (medication) is used to reduce spasticity through an
injection directly into the muscle? - Answers - Botox
, What type of movement would you expect to see upon observation of a 4-year old girl
with athetoid type cerebral palsy (CP)? - Answers - Large sudden fluctuations, "jerky"
movements with poor midrange control
Which type of movement disorder and distribution is most prevalent - Answers -
Spastic; Diplegic, Legs>arms
The posted reading by Paris & Murray-Slutsky describe the difficulty when trying to
assess the degree of sensory processing difficulties in children with neuromotor
challenges because most of the standardized test measures presume an intact or highly
functioning neuromotor status. They recommend use of which of the following
assessments to best identify the degree of sensory processing difficulties in children
with neuromotor challenges? - Answers - Utilize careful observation skills and sound
clinical judgements
Which postural reflex realigns the head with the body - Answers - Righting
What is a common scale used to determine the level of functional hand use in a child
diagnosed with cerebral palsy? - Answers - Manual Ability Classification System
(MACS)
Without adequate language skills, a child who is deaf or hard of hearing is at a
functional disadvantage in which of the following area? - Answers - All academic areas
Without vision, the blind child must use which senses to orient to gravity, move through
space, and maintain postural alignment? - Answers - All of the above
(Vestibular, Proprioception, Auditory)
Which postural and motor characteristics are often found in children with visual
impairments? - Answers - Head Movements (swaying)
Which of the following behaviors is not typically observed in an adolescent with visual
impairments? - Answers - Making too much eye contact with the person who is
speaking
Which of the following early developmental activities is NOT related to vision - Answers
- Suck, swallow, and breathe
Which strategy is least effective and therefore not recommended by therapists to help
children with visual impairments play with others? - Answers - Adult one-on-one
intervention during all play scenarios
Which of the following professionals can assess and treat oculomotor of eye alignment
difficulties? - Answers - Behavior Optometrists
As stated in the Paris & Murray-Slutsky article, the Bobaths believed it is important to
incorporate sensory experiences into their NDT facilitation techniques. The sensory
systems the NDT approach incorporates include: - Answers - All of the above
(Tactile, Proprioception, Vestibular)
Which of the following is a common compensatory strategy used by children with
cerebral palsy while reaching and grasping? - Answers - Excessive trunk movements
including trunk extension and lateral flexion
Which of the following is considered a secondary impairment in children diagnosed with
cerebral palsy? - Answers - Joint contracture
Which approach has the most evidence to support its use in occupational therapy for
children with cerebral palsy - Answers - Motor Control
What type of intervention approach is being used when the therapist recommends a
zipper pull to allow a child with cerebral palsy to put on his own coat? - Answers -
Adaptive
In the posted article by Paris & Murray-Slutsky, the authors acknowledge specialized
training is needed in the use of the treatment strategies, NDT and SI, particularly when
working with a significantly neurologically involved patient. The way these authors
describe use of the two frames of reference in treatment, is most similar to which of the
"applications of frames of reference" which was reviewed in class lecture last week and
described in the Kramer & Hinojosa text? - Answers - Frames of reference in parallel
What is not a cause of cerebral palsy in children - Answers - Socioeconomic status
How do serial static splints lengthen tissues and correct deformity - Answers -
Application of gentle forces sustained for extended periods of time
According to the medical record, Jenny had damage to her primary motor cortex during
birth trauma. She has been receiving OT, PT, and SLP since birth. The therapist
observed the following during the initial evaluation: Abnormal movements and atypical
reflexes present (i.e. ATNR); Hypertonicity in her arms with spasticity greater in her right
bicep, wrist flexors, and thumb adductor; Hypertonicity in her legs with spasticity greater
in hip adductors, hamstrings, and gastroc/soleus; Delayed or absent righting and
equilibrium responses. What type of cerebral palsy does Jenny have? - Answers -
Spastic
Which type of medical intervention (medication) is used to reduce spasticity through an
injection directly into the muscle? - Answers - Botox
, What type of movement would you expect to see upon observation of a 4-year old girl
with athetoid type cerebral palsy (CP)? - Answers - Large sudden fluctuations, "jerky"
movements with poor midrange control
Which type of movement disorder and distribution is most prevalent - Answers -
Spastic; Diplegic, Legs>arms
The posted reading by Paris & Murray-Slutsky describe the difficulty when trying to
assess the degree of sensory processing difficulties in children with neuromotor
challenges because most of the standardized test measures presume an intact or highly
functioning neuromotor status. They recommend use of which of the following
assessments to best identify the degree of sensory processing difficulties in children
with neuromotor challenges? - Answers - Utilize careful observation skills and sound
clinical judgements
Which postural reflex realigns the head with the body - Answers - Righting
What is a common scale used to determine the level of functional hand use in a child
diagnosed with cerebral palsy? - Answers - Manual Ability Classification System
(MACS)
Without adequate language skills, a child who is deaf or hard of hearing is at a
functional disadvantage in which of the following area? - Answers - All academic areas
Without vision, the blind child must use which senses to orient to gravity, move through
space, and maintain postural alignment? - Answers - All of the above
(Vestibular, Proprioception, Auditory)
Which postural and motor characteristics are often found in children with visual
impairments? - Answers - Head Movements (swaying)
Which of the following behaviors is not typically observed in an adolescent with visual
impairments? - Answers - Making too much eye contact with the person who is
speaking
Which of the following early developmental activities is NOT related to vision - Answers
- Suck, swallow, and breathe
Which strategy is least effective and therefore not recommended by therapists to help
children with visual impairments play with others? - Answers - Adult one-on-one
intervention during all play scenarios
Which of the following professionals can assess and treat oculomotor of eye alignment
difficulties? - Answers - Behavior Optometrists