Deck 35: Functional Activity Intervention in Sitting

Question 1

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

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

Answer 1

D

Question 2

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

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

Answer 2

D

Question 3

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

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

Answer 3

C

Question 4

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?

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

Question 5

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

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 6

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

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

Question 7

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

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 8

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

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

Question 9

Equilibrium reactions and transitioning between postures BOTH require:

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

Question 10

Which outcome measure was designed specifically to test sitting balance?

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

Question 11

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

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 12

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

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