Neuroplasticity and Stroke Recovery Quiz
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Questions and Answers

What is the term for the brain's lifelong capacity to learn based on new experiences?

  • Cortical representation
  • Adaptive plasticity
  • Maladaptive plasticity
  • Neuroplasticity (correct)

Maladaptive plasticity refers to a brain's improved ability to perform tasks.

False (B)

Name one factor that influences neuroplasticity.

Repetition and intensity or time sensitivity or task-importance or environment features or patient characteristics or pharmacology.

Neuroplasticity is more amenable early following _____ .

<p>injury</p> Signup and view all the answers

Match the following factors with their influence on neuroplasticity:

<p>Repetition = Induces lasting neural changes Motivation = Increases learning capacity Environment = Facilitates sensory and cognitive stimulation Age = Younger individuals have more neuroplasticity</p> Signup and view all the answers

What effect does stress have on neuroplasticity?

<p>Impairs neuroplasticity (D)</p> Signup and view all the answers

Increased intensity during therapy can promote neuroplasticity.

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

GABA receptor agonists like baclofen are known to _____ neuroplasticity.

<p>reduce</p> Signup and view all the answers

What is the percentage of ischemic strokes compared to hemorrhagic strokes among all strokes?

<p>Approximately 80% ischemic and 20% hemorrhagic (D)</p> Signup and view all the answers

Indigenous Australians have a lower stroke rate compared to non-indigenous Australians.

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

Name two rehabilitation services that may be required after a stroke.

<p>Physiotherapy and Occupational Therapy</p> Signup and view all the answers

Indigenous Australians are _____ more likely to die or be dependent at discharge compared to non-indigenous Australians.

<p>3x</p> Signup and view all the answers

Which of the following is NOT a potential underlying impairment after a neurological injury?

<p>Increased fertility (B)</p> Signup and view all the answers

Match the types of strokes with their characteristics:

<p>Ischemic = Caused by a blockage in blood vessels Hemorrhagic = Caused by bleeding in the brain Transient Ischemic Attack (TIA) = Temporary blockage leading to brief symptoms Cryptogenic stroke = Stroke with no known cause</p> Signup and view all the answers

Assessments in acute care and rehabilitation for Indigenous Australians are generally timely.

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

List one risk factor that is noted to have a greater prevalence in Indigenous Australians leading to higher stroke rates.

<p>Diabetes</p> Signup and view all the answers

What characterizes tremors as opposed to dyskinesia?

<p>Tremors are continuous and rhythmic (A)</p> Signup and view all the answers

Levodopa is primarily used for late-stage symptoms of Parkinson’s disease.

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

Name a risk factor for falls in patients with Parkinson's Disease.

<p>Previous falls within the past 12 months.</p> Signup and view all the answers

Deep Brain Stimulation is often used when patients have __________, which can cause motor fluctuations.

<p>side effects from medication</p> Signup and view all the answers

Match the following terms related to Parkinson's Disease with their descriptions:

<p>Levodopa = Medication that increases dopamine uptake Dyskinesia = Irregular and unpredictable movement Hoehn and Yahr scale = Scale for assessing Parkinson's Disease symptoms LSVT-BIG = Therapy focusing on amplitude of movement</p> Signup and view all the answers

What is one potential negative side effect of long-term Levodopa use?

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

Patients with Parkinson's Disease do not require any external cues for effective exercise.

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

What is the primary focus of LSVT-BIG therapy in managing Parkinson's Disease?

<p>Amplitude of movement.</p> Signup and view all the answers

Which test is commonly used to measure gait speed in Parkinson's Disease patients?

<p>Timed Up and Go (TUG) (A)</p> Signup and view all the answers

The quality of evidence for physiotherapy treatments in managing Parkinson's Disease symptoms is considered high.

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

Name one role of a dietician in managing patients with Parkinson's Disease.

<p>To address issues related to nutrition and potential weight loss.</p> Signup and view all the answers

The __________ is used to measure the functional balance and risk of falls in patients with Parkinson's Disease.

<p>Berg Balance Scale</p> Signup and view all the answers

Match the following healthcare practitioners with their primary role in managing Parkinson's Disease:

<p>Occupational Therapist = Home modifications and assistive devices Speech Pathologist = Communication and swallowing issues Clinical Psychologist = Mental health support Neurologist = Medication management</p> Signup and view all the answers

Which of the following interventions is NOT typically included in a comprehensive treatment plan for Parkinson's Disease?

<p>Chemical detoxification (C)</p> Signup and view all the answers

What is one potential impact of impaired cognition on the treatment of a Parkinson's Disease patient?

<p>It may hinder the patient's ability to follow treatment plans or engage in therapy sessions.</p> Signup and view all the answers

What is a key factor that influences better outcomes in shoulder replacement surgery?

<p>Surgeon experience (D)</p> Signup and view all the answers

The Commonwealth Home Support Program provides individualistic rehabilitation services for inpatients.

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

Patients with primary osteoarthritis tend to have worse results compared to those with more complex conditions.

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

What rehabilitation strategy is emphasized for quicker recovery after surgery?

<p>Early rehabilitation through structured physical therapy</p> Signup and view all the answers

Patients recovering from shoulder surgery are expected to have ____ comorbidities for better outcomes.

<p>fewer or no significant</p> Signup and view all the answers

Match the adaptive strategies with their respective activities:

<p>Rolling = Grab bed and pull intact arm Sitting = Widening of BOS Standing = Weight distribution Walking = Use arms for balance</p> Signup and view all the answers

Which component is NOT essential for successful sitting?

<p>Adhesive contact with the surface (C)</p> Signup and view all the answers

Dynamic standing does not require effective weight transfers during movement.

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

What is a key focus in compensation strategies for patients with acquired neurological injuries?

<p>Adaptation in movements for daily activities</p> Signup and view all the answers

To achieve sit-to-stand, the rapid trunk ____ phase is essential.

<p>flexion</p> Signup and view all the answers

Which movement is involved in the reaching process?

<p>Elbow extension (C)</p> Signup and view all the answers

Healthy patients are expected to recover better than those with significant comorbidities.

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

What role does trunk rotation play in rolling?

<p>Facilitates movement initiation and direction change</p> Signup and view all the answers

During the dynamic sitting phase, sitting requires ____ and core muscle engagement.

<p>back extension</p> Signup and view all the answers

Match the movements involved in manipulation with their respective descriptions:

<p>F/E of wrist = Flexion/Extension of wrist Abd of fingers = Abduction of fingers Closure of thumb = Closure against fingers Cupping of hand = Forming a basin shape</p> Signup and view all the answers

What is a recommended treatment for spasticity and dystonia?

<p>Botox injections every 4-6 months (C)</p> Signup and view all the answers

Routine stretching is recommended for the treatment of contractures.

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

What is a key challenge when measuring joint range of motion?

<p>Difficulty standardizing the force applied.</p> Signup and view all the answers

Patients with impaired cognition may require _______ instructions and treatment.

<p>modified</p> Signup and view all the answers

Which of the following aids can be used for communication with patients having aphasia?

<p>Communication aids (C)</p> Signup and view all the answers

Match the following conditions with their definitions:

<p>Dysarthria = Impaired speech articulation Dyspraxia = Difficulty with coordination of movements Dysphasia = Difficulty in understanding or producing language Receptive Aphasia = Inability to understand spoken language</p> Signup and view all the answers

What program is mentioned for addressing impaired sensation?

<p>SENSe program</p> Signup and view all the answers

Clinician measured joint range of motion can lead to inconsistencies in results.

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

Flashcards

Neuroplasticity

The brain's ability to adapt and change throughout life based on experiences and learning.

Adaptive Plasticity

Increased ability to perform a task due to practice and learning.

Maladaptive Plasticity

Decreased ability to perform tasks; unhelpful changes in brain function.

Neuroplasticity is use-dependent

Brain function improves when the relevant networks are repeatedly activated.

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Repetition for neuroplasticity

Repeating tasks strengthens neural networks, leading to lasting changes.

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Time sensitivity of neuroplasticity

The brain is more responsive to therapeutic interventions early after an injury or event.

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Environmental influence on neuroplasticity

Stimulating environments, including sensory and social input, accelerate learning and change.

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Adjuvant therapies impact neuroplasticity

Techniques like mental practice or stimulation-based therapy can enhance brain changes.

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Indigenous Stroke Rates

Indigenous Australians have significantly higher rates of stroke, hospitalizations, death, and dependency after discharge compared to non-indigenous Australians in Australia.

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Stroke Risk Factors (Indigenous)

Indigenous Australians exhibit a greater prevalence of stroke risk factors, especially diabetes, which may contribute to the disparity in stroke outcomes.

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Stroke Unit Treatment

Indigenous Australians are less likely to be treated in specialized stroke units, potentially impacting their recovery and outcomes.

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Delayed Health Assessments (Stroke)

Delayed health assessments for stroke in Indigenous Australians can significantly hinder timely interventions and recovery.

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Ischemic/Hemorrhagic Stroke

Ischemic strokes result from blocked blood vessels, while hemorrhagic strokes arise from ruptured vessels.

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Stroke Risk Factor Example

Diabetes is a significant risk factor for both ischemic and hemorrhagic strokes.

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Discharge Destination

Discharge destination decisions, considering patient needs for rehabilitation and support services after a stroke.

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Stroke Rehabilitation Services

Stroke rehabilitation encompasses various services, including physiotherapy, occupational therapy, speech therapy, neurologist follow-ups, home healthcare, psychological support, assistive devices and family support.

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Shoulder Replacement Recovery

Factors impacting speed and quality of recovery from shoulder replacement surgery.

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Experienced Surgeon

A surgeon with proven skill & knowledge in shoulder replacement procedures.

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Non-complex Conditions

Primary osteoarthritis (non-inflammatory) cases tend to heal better than complex conditions.

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Healthy Patients

Patients with fewer or no other major illnesses often fare better in recovery.

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Rolling (Neuro)

A motor skill needing trunk rotation, neck motion, shoulder protraction & hip/knee flexion.

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SOEOB (Neuro)

Side-to-Opposite Bed motion requiring lateral trunk/neck flexion, shoulder abduction, & leg lift.

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Sitting (Neuro)

Maintaining posture involving back extension, core strength, balance and reaching.

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Dynamic Sitting

Maintaining sitting posture while maintaining stability during movement.

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Sit to Stand

Description of stages of this movement: pre-ext, ext, stab.

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Compensation (Neuro)

Strategies adopted by patients with neurological injuries to perform tasks.

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Reaching (Neuro)

Actions involving shoulder elevation & rotation, elbow flexion, wrist extension/flexion, finger manipulation.

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Manipulation (Neuro)

Fine motor actions involving hand, fingers, thumb to grasp and perform tasks.

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Walking (Neuro)

A complex motor skill requiring coordination of multiple body segments.

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Adaptive Strategies

Workarounds used by patients with neurological injuries to perform tasks.

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Weight Bearing

Distributing one's body weight evenly.

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Tremor vs. Dyskinesia

Tremor is a rhythmic, small-amplitude movement at rest, while dyskinesia is a large-amplitude, irregular movement during movement, often jerky and unpredictable.

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Parkinson's Tremor Cause

Parkinson's tremor is linked to reduced dopamine levels.

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L-Dopa's Effect

L-dopa increases dopamine, but its effect can wear off over time and may cause dyskinesia (uncontrolled movements).

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Deep Brain Stimulation (DBS)

DBS is a treatment for Parkinson's that eases symptoms or reduces medication needs in those who respond to medication but have side effects (like motor fluctuations).

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Parkinson's Fall Risk Factors

Risk factors include previous falls, freezing of gait, and slow walking speed.

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Exercise Effectiveness (PD)

Exercise programs in PD can be effective but depend on factors like attention, cognitive abilities, and if L-dopa is working currently.

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LSVT-BIG

LSVT-BIG emphasizes movement amplitude (size) rather than speed using sensory recalibration.

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Cueing in PD Physiotherapy

Physiotherapy for PD often involves using visual, somatosensory, and cognitive cues or strategies to improve attention and movement.

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Parkinson's Physiotherapy Evidence

Physiotherapy shows minimal positive effects on gait speed, 2/6mWT, TUG, Berg Balance, Functional Reach, UPDRS, Falls Efficacy, Patient QoL in Parkinson's Disease.

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Multidisciplinary Parkinson's Team

A team combining specialists like physical therapists, occupational therapists, speech therapists, dieticians, clinical psychologists, neurologists, and social workers to manage Parkinson's.

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Discharge Goal Considerations

Discharge goals need to account for patient goals, timeframes, and destinations to ensure appropriate support.

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Allied Health Assistant Delegation

Specific physiotherapy tasks can safely be delegated to allied health assistants.

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Patient Unsuitable for Rehab Transfer

Acute ward to rehabilitation transfers are not suitable if patient's condition is unstable or needs critical care.

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Patient Prioritization

Prioritizing patients in rehabilitation considers their acuity, urgency, and workload.

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Secondary Parkinson's Impairments

Contractures, spasticity, vision, cognition, sensation, and aphasia impact Parkinson's treatment.

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Discharge Support Programs

Discharge programs such as COMPACKS, transition care, Commonwealth Home support Program, Homecare packages, NDIS can aid in after-care planning.

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Measuring Joint ROM Issues

Standardizing joint range of motion (ROM) measurements is challenging due to inconsistent clinician application of force, inter-clinician variations, and limitations in measuring true contracture in various positions (lying/sitting).

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Contracture Treatments

For contractures and spasticity/dystonia, Botox injections (every 4-6 months) are recommended for upper and lower limbs to reduce spasticity and improve function. Avoid stretching and acupuncture as routine treatments.

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Aphasia Communication

Communicating with aphasia patients requires modifying instructions, using clear, direct language, limiting distractions, and using obvious visual cues.

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Dysarthria vs. Dyspraxia vs. Dysphasia

Dysarthria affects speech production, dyspraxia affects voluntary movements, and dysphasia impacts comprehension/production of language.

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Impaired Vision Impact

Impaired vision requires modifying instructions and treatment approaches. Tasks should be goal-oriented, clear, explicit, and distractions limited.. Use bright, distinct targets.

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Impaired Cognition Impact

Impaired cognition results in difficulty following instructions. Treatment should be task-oriented, clear and direct, with limited distractions while using bright and obvious targets.

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Impaired Sensation Program

The SENSe program (7 principles) is used to address impairments in sensation.

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Aphasia Definition

Aphasia is a language disorder, affecting the comprehension and use of spoken or written language.

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