A patient with a left CVA exhibits right hemiparesis and a d…
A patient with a left CVA exhibits right hemiparesis and a dominant expression of extensor synergy in the lower extremity. Which of the following activities would be BEST to incorporate into an intervention session to improve scooting in bed while decreasing the influence of extensor dominance?
Read DetailsA patient recovering from stroke walks with limited tibial a…
A patient recovering from stroke walks with limited tibial advancement during stance on the more affected lower extremity. The therapist next examines the patient for a compensatory gait deviation. Which gait deviation is Most Likely to be seen?
Read DetailsYou are covering a patient for a colleague who is out sick. …
You are covering a patient for a colleague who is out sick. The patient’s chart says he has “ideomotor apraxia.” The therapist leaves you a note to say the goal of the session is to work on walking. Which of the following approaches may best help the patient achieve this goal?
Read DetailsA physical therapist observes that a new outpatient, 12 days…
A physical therapist observes that a new outpatient, 12 days status post a Right CVA who received TPA within 3 hours of stroke symptom onset, is unable to heel walk on her left side. This objective finding may indicate damage to which spinal tract?
Read DetailsA patient is 2 days post left CVA and has just been moved f…
A patient is 2 days post left CVA and has just been moved from the ICU to a stroke unit. When you arrive to begin your examination, you find his speech slow and hesitant. He is limited to one or two words and his expressions are awkward and arduous. However he demonstrates good comprehension. His difficulties are consistent with:
Read DetailsA 75 year old male patient who is 10 days post CVA ambulates…
A 75 year old male patient who is 10 days post CVA ambulates with a large base quad cane. The patient presents with left neglect and diminished proprioception. Which of the following actions is most appropriate to ensure the patient safety?
Read DetailsA 45 year old female patient who has left hemiplegia post CV…
A 45 year old female patient who has left hemiplegia post CVA is referred for orthotic examination. Significant results of manual muscle testing inlcude: hip flexion 3+/5, hip extension 3/5, knee flexion 3+/5, knee extension 3+/5, ankle dorsiflexion 2/5, and ankle inversion and eversion 1/5. Sensation is intact and no abnormal tone is noted. Which of the following orthoses is the MOST appropriate for this patient?
Read DetailsA 78-year old male patient status post cerebellar infarct co…
A 78-year old male patient status post cerebellar infarct completes the 10-meter walk test in your session. He demonstrated an improvement of .15 m/s as compared to his previous session. You noted he had 3 episodes of loss of balance requiring contact guard, and caught his left foot 2 times during the test. How you would provide knowledge of results feedback to this patient about your findings?
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