Interventions for Weakness: Stroke Rehabilitation

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What is the primary issue with the 82-year-old woman who had a hemorrhagic stroke?

Lack of trust in her strength

Weakness on the right side

Ideomotor apraxia

All of the above (correct)

Which type of exercise is recommended for subacute and chronic stroke patients?

80% 1RM with 5 reps

60-75% 1RM with 10-15 reps (correct)

90% 1RM with 20 reps

40% 1RM with 20 reps

What is the primary goal of strength training?

To overload the muscle (correct)

To improve muscle endurance

To enhance flexibility

To increase muscle mass

According to the study by Hortobágyi et al., what percentage of maximum capacity do old adults perform activities of daily living?

70-80% Signup and view all the answers

What is the purpose of NMES in strength training?

To facilitate neuromuscular electrical stimulation Signup and view all the answers

What is the principle of specificity in strength training?

All of the above Signup and view all the answers

What is the primary goal of Functional Task Oriented Training?

To address multiple system impairments and promote transfer to functional skills Signup and view all the answers

What is the primary focus of Functional Task Oriented Training?

The task or specific movements required for the task Signup and view all the answers

What is manipulated in Functional Task Oriented Training to achieve the desired outcome?

The 3 factors: Individual, Task, and Environment Signup and view all the answers

What is the purpose of identifying the priority for the patient in Functional Task Oriented Training?

To focus the home program Signup and view all the answers

What is an example of an adjustment made in Functional Task Oriented Training?

Adjusting the way the patient dances to facilitate more of a lower trunk weight shift Signup and view all the answers

What percentage of maximum available strength is required to increase skeletal muscle strength?

60% Signup and view all the answers

At what RPE level is it suggested to complete 10 reps to reach the 80% threshold?

RPE 15-17 Signup and view all the answers

What type of contraction is initially used to build force-generating capacity and increase strength in postural muscles?

Isometric Signup and view all the answers

What is a consideration for choosing a type of contraction in strength training for very weak muscles?

Focus on quality Signup and view all the answers

What is the purpose of using NMES in strength training?

To transition to a home program Signup and view all the answers

What is the primary goal of adjusting strength training for specific conditions?

To ensure safety and effectiveness Signup and view all the answers

What is a characteristic of weakness in individuals with Multiple Sclerosis?

Disruption of supraspinal and/or spinal pathways to the motor unit pool Signup and view all the answers

In Acquired Brain Injury, what is a possible cause of weakness besides central neural activation deficits?

Disuse atrophy Signup and view all the answers

What is a characteristic of weakness in individuals with Guillain-Barré Syndrome?

Distal to proximal weakness Signup and view all the answers

What is a characteristic of weakness in individuals with Parkinson's disease?

Initiation, timing, and sequencing deficits Signup and view all the answers

What is the primary focus of strengthening and rehab in post-stroke individuals?

Increasing strength Signup and view all the answers

What is a characteristic of Charcot-Marie-Tooth disease?

Hereditary, lower motor neuron presentation Signup and view all the answers

What is the effect of training on motor unit recruitment and neural drive?

Increased neural drive and motor unit recruitment Signup and view all the answers

What is a common effect of reduced mobility and activity levels post-stroke?

Atrophy and loss of range of motion Signup and view all the answers

What is the primary weakness pattern seen in post-stroke patients?

Primary weakness on the paretic side, contralateral to the lesion Signup and view all the answers

What is a characteristic of force production in post-stroke patients?

Reduced force generation and slowness in force production Signup and view all the answers

What is a key component of customized strengthening interventions?

Characteristics of the patient, including diagnosis and functional level Signup and view all the answers

What is a finding regarding eccentric contractions in post-stroke patients?

Eccentric contractions are not related to level of physical activity Signup and view all the answers