Deck 19: Intervention Related to Hypertonia: Spastic and Rigid

Question 1

Early stage Parkinson disease is highly correlated with this type of hypertonia.

A)Lead pipe
B)Cogwheel
C)Decorticate
D)Decerebrate

Answer 1

B

Question 2

A patient presents with decerebrate rigidity.The lesion most likely responsible for this abnormal posturing is located within the __________.

A)Cortico-spinal tract
B)Brainstem (extrapyramidal spinal cord tracts)
C)Peripheral nerve
D)Cauda equina

Answer 2

B

Question 3

Which of the following therapeutic inhibition techniques is least effective to reduce hypertonicity of the upper extremity:

A)Sustained long-axis traction
B)Sustained cold application
C)Sustained heat application
D)Sustained stretching of the muscles,followed by agonist contraction

Answer 3

D

Question 4

Spasticity is defined as which of the following:

A)An increase in muscle tone present with velocity dependent movement
B)An increase in muscle tone present without velocity dependent movement
C)A decrease in muscle tone present with velocity dependent movement
D)A decrease in muscle tone present with velocity dependent movement

Question 5

When applying motor level stimulation to address spasticity of the following settings which is the most important?

A)Appropriate ramp up time
B)Maximum treatment time of 5 minutes
C)A continuous duty cycle
D)Amplitude that is below motor threshold

Question 6

Aquatic therapy has demonstrated effectiveness as a means of therapeutic exercise for individuals with hypertonicity.The main principle that allows for a therapeutic effect is which of the following?

A)Multidirectional resistive forces
B)A water temperature of 77° to 80° Fahrenheit
C)Water tension
D)Buoyancy

Question 7

A patient presents with a slight increase in muscle tone,manifested by a catch,followed by minimal resistance throughout the remainder (less than half) of the range of motion (ROM).The corresponding score on the Modified Ashworth Scale is as follows:

A)0
B)1
C)1+
D)2

Question 8

Hypertonicity in the biceps and the flexor digitorum profundus (FDP) may result in which of the following contractures and subsequent functional limitations?

A)Elbow extension and wrist extension and the inability to feed oneself
B)Elbow extension and wrist flexion and the inability to transfer from one surface to another
C)Elbow flexion and wrist extension and the in ability to hold a grooming object to perform self-care
D)Elbow flexion and wrist flexion and in ability to reach and grasp an object with a lumbrical grip

Question 9

Which of the following pharmaceutical interventions may be administered orally or via intrathecal catheter?

A)Kepra
B)Baclofen
C)Zanaflex
D)Botox