Question 1

What abnormal sitting posture is typically observed in BOTH individuals with hemiplegia and tetraplegia?

Accepted Answer

A) Bilateral upper extremity support to maintain upright posture 
B) Spinal extension with neutral pelvic alignment 
C) Spinal flexion with a posterior pelvic tilt 
D) Unequal (asymmetrical) lateral weight shift 
A) Bilateral upper extremity support to maintain upright posture 
B) Spinal extension with neutral pelvic alignment 
C) Spinal flexion with a posterior pelvic tilt 
D) Unequal (asymmetrical) lateral weight shift C

Question 2

A critical motion for patients with a spinal cord injury to incorporate in their transfers is:

Accepted Answer

A) Maintaining elbow flexion during the lift 
B) Maintaining neutral/anterior pelvic alignment 
C) The head-hips relationship principle 
D) The use of wrist tenodesis 
A) Maintaining elbow flexion during the lift 
B) Maintaining neutral/anterior pelvic alignment 
C) The head-hips relationship principle 
D) The use of wrist tenodesis C

Question 3

Equilibrium reactions and transitioning between postures BOTH require:

Accepted Answer

A) Optical righting 
B) Protective extension reactions 
C) Trunk rotation 
D) Upper extremity weight bearing 
A) Optical righting 
B) Protective extension reactions 
C) Trunk rotation 
D) Upper extremity weight bearing C

Question 4

What motion improves when feet are placed on the floor during a seated task?

Accepted Answer

A) Decreased ability to "brake" movement 
B) Decreased reaching speed 
C) Improved body stabilization 
D) Smaller trunk excursion 
A) Decreased ability to "brake" movement 
B) Decreased reaching speed 
C) Improved body stabilization 
D) Smaller trunk excursion

Question 5

Which of the following is a progression of intervention activities to promote function in sitting?

Accepted Answer

A) Advance from unsupported short sit to upper extremity supported long sit 
B) Advance from unsupported short sit to unsupported side-sit 
C) Donning shoes and socks in unsupported sitting to maintaining unsupported seated posture against manual resistance 
D) Sitting with feet unsupported (dangling in the air) to short-sit with feet supported 
A) Advance from unsupported short sit to upper extremity supported long sit 
B) Advance from unsupported short sit to unsupported side-sit 
C) Donning shoes and socks in unsupported sitting to maintaining unsupported seated posture against manual resistance 
D) Sitting with feet unsupported (dangling in the air) to short-sit with feet supported

Question 6

Alternating isometrics is being used with the patient in short-sitting.This proprioceptive neuromuscular facilitation (PNF) technique is focused on what level of motor control?

Accepted Answer

A) Stability 
B) Controlled mobility 
C) Static dynamic 
D) Skill 
A) Stability 
B) Controlled mobility 
C) Static dynamic 
D) Skill

Question 7

What preparation should be made to allow for safe transfers at home prior to discharge?

Accepted Answer

A) Addition of wheeled chairs for the kitchen table 
B) Instruction of a daily home exercise program,which will take 30 minutes of uninterrupted time to complete 
C) Placement of blocks under the bed legs to raise the bed height for optimal body mechanics for the caregiver 
D) Repetitive practice by the caregiver to demonstrate safe transfers 
A) Addition of wheeled chairs for the kitchen table 
B) Instruction of a daily home exercise program,which will take 30 minutes of uninterrupted time to complete 
C) Placement of blocks under the bed legs to raise the bed height for optimal body mechanics for the caregiver 
D) Repetitive practice by the caregiver to demonstrate safe transfers

Question 8

Which outcome measure was designed specifically to test sitting balance?

Accepted Answer

A) Berg Balance Scale 
B) Motor Assessment Scale for Stroke 
C) Spinal Cord Independence Measure 
D) Trunk Impairment Scale 
A) Berg Balance Scale 
B) Motor Assessment Scale for Stroke 
C) Spinal Cord Independence Measure 
D) Trunk Impairment Scale

Question 9

Which of the following is a FALSE statement regarding safety during sliding board transfers

Accepted Answer

A) Instruct the patient to lift to decrease shearing forces 
B) Patients should be instructed to keep their fingers on top of the sliding board 
C) The correct sliding board width,length,and cutouts are considerations for an optimal transfer 
D) The sliding board should be placed beneath the patient's thighs 
A) Instruct the patient to lift to decrease shearing forces 
B) Patients should be instructed to keep their fingers on top of the sliding board 
C) The correct sliding board width,length,and cutouts are considerations for an optimal transfer 
D) The sliding board should be placed beneath the patient's thighs

Question 10

A patient needs to react faster to weight shifts in unsupported sitting.Which activity would be MOST appropriate for this goal?

Accepted Answer

A) Catching/throwing a ball with another person 
B) Lifting weights over head 
C) Marching "in place" while seated 
D) Reaching for a cup of water 
A) Catching/throwing a ball with another person 
B) Lifting weights over head 
C) Marching "in place" while seated 
D) Reaching for a cup of water

Question 11

Which of the following is a TRUE statement regarding safety during seated tasks?

Accepted Answer

A) Gait belts should always be used during inpatient rehabilitation 
B) One person can safely guard all patients in a seated position 
C) Patient sitting at the edge of the wheel chair may be left unattended for a brief time 
D) The therapist may grasp the hemiplegic upper extremity to prevent a lateral fall to the opposite side 
A) Gait belts should always be used during inpatient rehabilitation 
B) One person can safely guard all patients in a seated position 
C) Patient sitting at the edge of the wheel chair may be left unattended for a brief time 
D) The therapist may grasp the hemiplegic upper extremity to prevent a lateral fall to the opposite side

Question 12

A patient demonstrates lateropulsion in unsupported short-sitting and is not actively pushing into the posture.The most likely pathology is:

Accepted Answer

A) Cerebellar ataxia 
B) Contraversive pushing 
C) Thalamic astasia 
D) Wallenberg's syndrome 
A) Cerebellar ataxia 
B) Contraversive pushing 
C) Thalamic astasia 
D) Wallenberg's syndrome

Exam 35: Functional Activity Intervention in Sitting

What abnormal sitting posture is typically observed in BOTH individuals with hemiplegia and tetraplegia?

A critical motion for patients with a spinal cord injury to incorporate in their transfers is:

Equilibrium reactions and transitioning between postures BOTH require:

What motion improves when feet are placed on the floor during a seated task?

Which of the following is a progression of intervention activities to promote function in sitting?

Alternating isometrics is being used with the patient in short-sitting.This proprioceptive neuromuscular facilitation (PNF) technique is focused on what level of motor control?

What preparation should be made to allow for safe transfers at home prior to discharge?

Which outcome measure was designed specifically to test sitting balance?

Which of the following is a FALSE statement regarding safety during sliding board transfers

A patient needs to react faster to weight shifts in unsupported sitting.Which activity would be MOST appropriate for this goal?

Which of the following is a TRUE statement regarding safety during seated tasks?

A patient demonstrates lateropulsion in unsupported short-sitting and is not actively pushing into the posture.The most likely pathology is:

Foundations for Making Clinical Decisions in Neuromuscular Rehabilitation

Making Clinical Decisions: a Path to Optimal Therapeutic Plan and Outcomes

The Neurological Examination and Evaluation: an Overview

Screening of Attention, cognition, perception, and Communication

Examination and Evaluation of Sensory Systems

Examination and Evaluation of Neuromotor Systems

Examination and Evaluation of Cranial Nerves

Examination and Evaluation of Vestibular Function

Examination of Balance and Equilibrium

Examination and Evaluation of Functional Status and Movement Patterns

Examination and Evaluation of Cardiovascularpulmonary Systems in Neuromuscular Disorders

Diagnostic Testing in Neurology: Lab Tests, imaging, and Nervemuscle Studies With Implications for Therapists

Development of Neuromotor Skills: Lifespan Approach

Concepts and Principals of Neurological Rehabilitation

General Approaches to Neurological Rehabilitation

Health Promotion and Wellness in Neurology

Assistive Technology in Intervention: Focus on Wheelchairs,assistive Devices,and Orthoses

Intervention for Flaccidity and Hypotonia

Intervention Related to Hypertonia: Spastic and Rigid

Intervention for Involuntary Contractions and Movement

Intervention for Ataxiaincoordination

Interventions for Weakness in Neuromotor Disorders

Intervention for Limited Passive Range of Motion

Therapeutic Intervention for Impaired Motor Controlstability

Intervention for Impaired Motor Controlmovement

Therapeutic Interventions for Complete Paralysis

Intervention for Sensory Impairment

Intervention for Chronic Pain

Intervention for Vestibular Impairment

Interventions for Balance Impairment

Overcoming Challenges of Impaired Perception, cognition, and Communication Aphasia or Dysarthria

Intervention for Cardiovascular and Pulmonary Impairments in Neurological Populations

Functional Activity Intervention in Upper Extremity Tasks

Functional Activity Intervention in Horizontal Bed Mobility to Quadruped Skills

Functional Intervention in Sit-To-Stand, stand-To-Sit, and Standing

Functional Activity Intervention in Upright Mobility

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