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 (A)</p> Signup and view all the answers

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

<p>Hyperextended arm (B)</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 (A)</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 (C)</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 (A)</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 (B)</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 (C)</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 (C)</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 (A)</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 (A)</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 (C)</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 (D)</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 (A)</p> Signup and view all the answers

What does open chained activities in physical therapy involve?

<p>Simultaneous movement of both arms (D)</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 (D)</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 (A)</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 (B)</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 (A)</p> Signup and view all the answers

Which technique is used to provide earlier independence during transfers?

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

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

<p>Attaining proper posture (C)</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 (B)</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 (D)</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 (C)</p> Signup and view all the answers

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