Post-stroke physiotherapy rehabilitation exam questions and answers 2024

Post-stroke physiotherapy rehabilitation exam questions and answers 2024 Post stroke rehab - Answer-Early, individualise Focus and specific Complex, ongoing Begins very early within acute setting with assessment from all therapy difficulties Post stroke rehab aims - Answer-To help pt regain as much pre-stroke ability as possible Support them with living with their difficulties Post stroke issues that impact therapy - Answer-Need to address direct effects of stroke (motor impairment) as well as preventing secondary complications Secondary complications of stroke - Answer-Joint/muscle stiffness Loss of muscle length Contracture Tissue breakdown Pressure sores Respiratory/urinary/circulatory/cardio/cognitive issues Pain Depression/anxiety CV decondititioning Hygiene difficulties Oedema Constipation Altered consciousness/arousal Dysphagia- comprehension, understanding, hearing, vision, receptive, expressive Motor weakness Loss of bladder/bowel control Changes in muscle tone, personality, behaviour Therapy assessments in stroke - Answer-Similar to acute assessment More functional and patient centred Goal setting process Subjective assessment in stroke - Answer-History of presenting complaint Past medical history Social history Drug history Input to date Objective assessment in stroke - Answer-Vision Range of movement MRC breathlessness scale Sensation Functional assessment in stroke - Answer-Bed mobility Lie to sit Sitting balance Transfers Mobility Occupational assessment in stroke - Answer-Role Mood Continence Additional assessments in stroke - Answer-Cognition Memory Attention Perception Activities of daily living Alcohol/sexual advice Functional tasks Physio options in stroke - Answer-Tract hoist to support gait Reducation specifically focused on dorsiflexion (feet clearence) =Benificial in cerebellar stroke Backslab splinting Upper limb facilitated movements Baking in stroke - Answer-Provides opportunity for- following instructions