Hemiparetic Interventions for Trunk Posture in Transfers
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Questions and Answers

What type of weightbearing involves the forearm and hand being supported on a surface to bear weight?

  • Forearm weightbearing (correct)
  • Structural weightbearing
  • Spastic weightbearing
  • Neutral weightbearing
  • Which arm condition requires proper neutral alignment for weightbearing with good proprioception?

  • Weak arm
  • Stiff arm
  • Hyperextended arm
  • Flaccid arm (correct)
  • In which position is weightbearing with an extended arm more challenging?

  • Lateral to hips
  • Posterior to hips (correct)
  • Anterior to hips
  • In line with hips
  • What technique may a clinician need to use to avoid subluxation when a patient presents with hypotonia during weightbearing?

    <p>Press the triceps downward and inward</p> Signup and view all the answers

    Which type of arm positioning encourages thoracic extension and scapular stabilization during weightbearing?

    <p>Hyperextended arm</p> Signup and view all the answers

    What is the most difficult position for weightbearing out of the three extended arm positions mentioned?

    <p>Posterior to hips</p> Signup and view all the answers

    What type of sitting position is recommended for providing proprioceptive feedback in the upper extremity?

    <p>Long sitting</p> Signup and view all the answers

    Which sitting position requires the arms to be positioned either anterior or posterior to the hips?

    <p>Short sitting</p> Signup and view all the answers

    In which type of sitting, muscle substitution for head righting and upper extremity movement is observed?

    <p>Dynamic sitting</p> Signup and view all the answers

    Which intervention focuses on lead-up skills like alignment, stability, and mobility in various body parts?

    <p>UE (upper extremity) Interventions</p> Signup and view all the answers

    What is the main focus of fine motor tasks involving prehension and manipulation of objects after achieving proper alignment?

    <p>Wrist movements</p> Signup and view all the answers

    Which functional intervention involves challenging gross motor and fine motor bilateral integration patterns for daily life functions?

    <p>Scapulohumeral rhythm training</p> Signup and view all the answers

    Why is it advised not to lock out the elbow during physical therapy?

    <p>To rely on muscles for stability rather than stacking bony structures and ligaments</p> Signup and view all the answers

    When might locking out the arm during physical therapy be necessary?

    <p>If the patient is unable to extend their arm</p> Signup and view all the answers

    Which type of weightbearing sequence is typically initiated first in physical therapy?

    <p>Towards the less involved non-paretic side</p> Signup and view all the answers

    In closed chained weight shifting, how is the affected side stabilized for dynamic movement?

    <p>By actively engaging the muscles on the affected side</p> Signup and view all the answers

    What does open chained activities in physical therapy involve?

    <p>Simultaneous movement of both arms</p> Signup and view all the answers

    What is a common recovery-based lead-up skill before working on transfer tasks?

    <p>Scooping up and in with body movement</p> Signup and view all the answers

    In paraparetic interventions, what type of transfer is emphasized for individuals with poor prognosis for recovery?

    <p>Angular momentum lift</p> Signup and view all the answers

    Which technique is essential for individuals with diagnoses like C5-C6 complete spinal cord injury due to lack of trunk control?

    <p>Triceps Dips</p> Signup and view all the answers

    What is a key aspect of recovery-based interventions for transfers in hemiparetic patients?

    <p>Emphasizing re-establishing function of involved limbs</p> Signup and view all the answers

    Which technique is used to provide earlier independence during transfers?

    <p>Scoot Pivot w/o transfer board</p> Signup and view all the answers

    What skill can be practiced repetitively to enhance efficiency in transfers?

    <p>Placement &amp; Removal of transfer board</p> Signup and view all the answers

    What is an essential step before performing mobilization in transfer interventions?

    <p>Attaining proper posture</p> Signup and view all the answers

    What is the primary target tissue for lower trunk weight shifting in anterior weight shifting?

    <p>Lumbar extensors</p> Signup and view all the answers

    What can be placed in front of a patient to decrease anxiety during a transfer task?

    <p>Beside table</p> Signup and view all the answers

    What is emphasized in recovery-based interventions for static sitting balance early on in rehabilitation?

    <p>Postural control in trunk stability &gt; mobility &amp; weight shift &gt; controlled mobility</p> Signup and view all the answers

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