Exam 22: Interventions for Weakness in Neuromotor Disorders

A physical therapist is working with a 38 year-old man in an inpatient rehabilitation setting who was diagnosed with Guillain-Barré syndrome (GBS) 4 weeks ago.He presents with moderate weakness in bilateral lower extremities.Which of the following progressive resistive exercise (PRE) prescriptions for the proximal hip muscles is most appropriate for this patient with special consideration to avoid overwork weakness? Note: 1 RM = 1 repetition max

Which of the following statements regarding the effects of strength training post-stroke is accurate based on current research evidence?

Hemiparesis following a stroke is a significant contributor to functional limitations.Which of the following is an accurate description of the neural and/or structural muscle factors that underlie impaired force production in a patient with subacute stroke?

A 20 year-old male patient with C-7 incomplete spinal cord injury has residual weakness in his triceps muscles bilaterally that is affecting his ability to stabilize and support body load while ambulating with Loftstrand crutches on level surfaces.The therapist is designing a strengthening exercise to address this problem.Which of the following exercises best represents the application of the principle of specificity of training for this patient's needs?

A physical therapist is designing a lower extremity strengthening exercise for a 72 year-old patient with idiopathic Parkinson disease (PD).Which of the following exercise prescriptions would be optimal to improve muscle power needed for functional mobility tasks? Note: 1 RM = 1 repetition max

Which of the following statements regarding the use of home exercise programs (HEP) for patients with neurological diagnoses is inaccurate?

A physical therapist is working on improving active wrist extension and stabilization needed for reach and grasp in a 62 year-old women who is 2 weeks post-stroke.The therapist has decided to apply neuromuscular electrical stimulation (NMES) to the wrist extensors.Which of the following exercise design and electric stimulation parameters would be most effective to address this patient's therapeutic goal?

For which of the following neurological diagnoses are you expecting that a strength training program targeted to weakened muscles will result in some remediation of weakness deficits with improved strength outcomes? (1) Amyotrophic lateral sclerosis (ALS) (2) Multiple sclerosis (MS) (3) Parkinson disease (PD) (4) Muscular dystrophy (MD)

A 49 year-old woman who has relapsing remitting multiple sclerosis (MS) is being evaluated by a physical therapist in an outpatient setting.The therapist suspects significant disuse atrophy in the trunk and lower extremities that is adversely affecting functional skills,with patient report of a recent decline in transfer and walking skills.The therapist is designing a home exercise program with therapeutic goals of improving strength,endurance and function,but is concerned about not over fatiguing this patient.Which of the following home exercise program (HEP) options would be most appropriate to address these goals for this patient?

A physical therapist is designing a strength training program for an 8 year-old child with spastic diplegic cerebral palsy.Which of the following exercise prescriptions follow the recommended exercise guidelines for children with CP?

Which of the following exercises reflects functional strength training exercise design to target weak hip abductors?

A physical therapist is working with a 44 year-old woman who has significant hemiparesis following a brain injury.The patient is unable to activate the hamstring muscle to move the limb through active range of motion and demonstrates 1+/2− manual muscle test (MMT) grade.Which type of muscle contraction and limb position would be most effective for exercise design initially to facilitate enhanced muscle activation in hamstrings when working with this patient in sidelying with limb on a power board?