Deck 10: Examination and Evaluation of Functional Status and Movement Patterns

Question 1

Which of the following standardized functional measures is LEAST useful to assess supine to sitting during an evaluation for a patient post-stroke?

A)Fugl-Meyer Assessment
B)Trunk Control Test
C)Mobility Scale for Acute Stroke
D)STREAM

Answer 1

A

Question 2

During an examination of a patient you complete an observational analysis of the patient's ability to transition from sitting in the wheelchair to standing.The patient places both hands on the armrests and as he attempts to rise,you note that his center of mass is too far posteriorly.He requires multiple attempts to come to stand as he continues to fall backward into the wheelchair.What phase of moving from sitting to standing will you focus initial intervention on?

A)Flexion momentum
B)Momentum transfer
C)Extension
D)Stabilization

Answer 2

A

Question 3

You evaluate a patient with a spinal cord injury at the C6 level in an inpatient rehabilitation setting.The patient is sitting in her wheelchair.To assess reaching and grasping of the upper extremity,you ask her to reach and pick up the remote control sitting on the bedside table in front of her.She tells you that she cannot grip or grab on to anything because of her injury.What is the most appropriate response?

A)Apologize to the patient for asking her to do something that is not possible at this time
B)Ask the patient to reach for the remote control but not attempt to pick it up in order to assess upper extremity reaching
C)Tell the patient that she should be able to grip normally given the level of her injury
D)Instruct and demonstrate a possible way to grasp the remote by placing your hand over the remote,extending your wrist,and allowing the passive tension of the finger flexors to grasp the remote

Answer 3

D

Question 4

Which statement is TRUE regarding functional limitations and/or disability?

A)A functional limitation refers to the manner or technique in which an activity is performed,not the efficiency with which the task is completed.
B)A functional limitation is a complete lack of ability to perform the specific task.
C)A functional limitation occurs in isolation and does not contribute to the development of another functional limitation.
D)There is not a linear relationship;not all functional limitations result in disability.

Question 5

Which of the following statements accurately describes a functional examination?

A)Include observational analysis as well as objective,subjective,and qualitative measures whenever possible.
B)Standardized measures as a part of the functional exam need not have strong validity or reliability as long as the measures are clinically feasible.
C)Functional measures within the exam should always be disease specific.
D)The functional examination should not include subjective measures as these lack any validity or reliability to be meaningful.

Question 6

Which of the following descriptions best describes the essential components of the most common movement pattern for rolling from supine to left sidelying?

A)The entire trunk rolls/rotates as a single unit to the left
B)Right hip and knee flexion,right foot presses into the surface,lower trunk rotation to the left,right upper extremity flexion and adduction across midline,cervical flexion,and left rotation
C)Right hip and knee flexion and adduction across midline,lower trunk rotation to the left,right upper extremity flexion and adduction across midline,cervical flexion,and left rotation
D)Cervical flexion and left rotation,right upper extremity flexion and adduction,rotation of the upper trunk to the left,right lower extremity flexion and adduction,rotation of the lower trunk to the left

Question 7

As part of the physical therapy evaluation for a patient post-stroke in an inpatient rehabilitation setting,you administer a standardized functional measure in which you assign a rating that corresponds to the amount of physical assistance the patient requires for a transfer (no assistance,minimal assistance,moderate assistance,maximal assistance,total assistance).What type of scale is this data?

A)Nominal scale
B)Ordinal scale
C)Interval scale
D)Ratio scale

Question 8

A patient you are examining in outpatient physical therapy has just received his power wheelchair.Which of the following standardized functional measures is the most appropriate to consider for this patient?

A)Wheelchair Skills Test (WST)
B)Wheelchair Physical Functional Performance test
C)Continuous Scale for Physical Functional Performance
D)Wheelchair Mobility Test

Question 9

During the physical therapy examination,your patient completes the 10 m walk test in 7.2 sec.You document that the patient's gait speed:

A)Is within normal limits
B)Is decreased compared to normative values
C)Is faster than normative values
D)Indicates a high risk of falls