Rancho Los Amigos Levels Quiz

A series of stages describing the typical motor recovery process after a stroke, progressing from flaccidity to complex movements and greater independence.

Initial stage after a stroke characterized by flaccidity, with no active limb movement.

Following the initial flaccidity stage, movements begin, but with involuntary patterns called synergies; tone increases.

Voluntary movement is occurring, but still within predictable patterns (synergies); spasticity is at its peak.

Slight decrease in muscle tone, allowing for some movement outside the patterns of synergy after a stroke.

Predictable pattern of limb movements in the upper extremities where flexion dominates. (and related) during stroke recovery.

Upper extremity muscle stiffness/rigidity, especially in specific movements during stroke recovery.

Lower extremity muscle stiffness, often seen in characteristic patterns, or during stroke recovery.

Predictable patterns of movement (like flexion and extension) that often occur in the affected limbs after a stroke.

Increased muscle tone resulting in stiffness, increased resistance to passive stretch.

No Response, describes a patient in a coma state with no reaction to external stimuli.

Generalized Response, describes a patient with non-purposeful, inconsistent reactions to stimuli, like grunting or body movement.

Localized Response, describes a patient with specific reactions to stimuli, able to follow simple commands like 'close your eyes' or 'squeeze my hand'.

Focus on maintaining safety, preventing complications, and providing sensory stimulation and environmental control.

These levels describe patients with varying levels of consciousness and responsiveness, ranging from unresponsive coma to basic intentional responses.

For a patient at RLA Level IV, it's crucial to provide consistent therapists and staff. Additionally, family should introduce themselves daily, and establishing a routine helps to create a sense of stability for the patient.

Patients at this level have no memory carryover. Therefore, therapists should chart and graph progress to track improvements and provide visual reminders for the patient.

This level is marked by agitation, so it's vital to create a calming environment. Do not confront the patient, instead, utilize a closed environment to prevent harm to both the patient and others.

The main reason the patient is seeking physical therapy. It describes their current condition or difficulty.

How well the patient is able to think, process information, and make decisions.

Patient is confused and disoriented, may fabricate stories or seem overly active, often demonstrates poor judgment.

Focus on providing consistent structure, simple instructions, and clear communication. Avoid complex activities or overwhelming information.

Inpatient rehabilitation, a setting where patients receive intensive therapy for recovery.

A type of physical therapy that helps patients improve their walking ability.

A type of physical therapy that helps patients move safely and independently between different positions, like from bed to chair.

It strengthens muscles, improves balance, and helps patients regain independence in self-care activities.

The patient sustained a traumatic brain injury due to a motorcycle accident involving ejection.

A wheeled mobility aid with handlebars that provides support for balance and walking.

The patient needs help with half of the effort required for a transfer, such as lifting their body or coordinating their leg movements.

The patient needs some help with walking, such as verbal cues or a little physical support.

Exercises prescribed by a therapist to address specific goals, like improving muscle strength, balance, or coordination.

Learning techniques to move safely and efficiently in bed, such as rolling over and getting in and out of bed.

A process to retrain the nervous system and muscles to work together effectively after an injury.

The PT should be positioned behind the patient, offering support, providing cues, and ensuring safety throughout the transfer.

The PT should be positioned posterolateral to the patient's left side, maintaining a narrow base of support, and ensuring their right hand is on the guarding belt for control.

Patients requiring gait training often have weakness in one lower extremity, may use assistive devices like a walker, and need varying levels of assistance.

Therapeutic exercises aim to improve mobility, strength, coordination, and overall function.

Bed mobility training helps patients move safely and independently within their bed, including rolling, sitting up, and getting in and out of bed.

Transfer training focuses on helping patients move safely and independently between different positions, such as from bed to chair or from chair to wheelchair.

Gait training helps patients improve their walking skills by addressing underlying weaknesses and impairments, such as balance, coordination, and strength.

Neuromuscular re-education focuses on retraining the nervous system to control muscles and movements, often after an injury or neurological event.