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WorksheetsPrevention and Rehab
Total questions: 60
Worksheet time: 20mins
What is GBS?
Unilateral, demyelinating polyneuropathy
Progressive degenerative death of cells in the substantia nigra, leading to a dopamine deficiency
Bilateral, demyelinating polyneuropathy
CNS disease in which myelin sheath on axons is damaged
What is typically the first sign of GBS?
Weakness of the upper limbs
Tingling in the fingers
Sensory loss (usually paresthesia)
Weakness in the lower limbs
What is Parkinson's Disease?
Unilateral, demyelinating polyneuropathy
Progressive degenerative death of cells in the substantia nigra, leading to a dopamine deficiency
Bilateral, demyelinating polyneuropathy
CNS disease in which myelin sheath on axons is damaged
What is Multiple Sclerosis?
Unilateral, demyelinating polyneuropathy
Progressive degenerative death of cells in the substantia nigra, leading to a dopamine deficiency
Bilateral, demyelinating polyneuropathy
CNS disease in which myelin sheath on axons is damaged
What should you be looking for when taking MMT's on a GBS pt?
Muscle weakness
Symmetrical weakness and plateau of symptoms
Abnormal tone
None of the above
Treatment of GBS should include? (tick all that apply)
Respiratory care
Muscle strengthening
Balance training
CV fitness training
Which of the following is NOT an early symptom of PD?
Unexplainable tiredness and fatigue
Mild muscular cramps
Freezing
These are all early symptoms
When should you train a pt with MS who is taking Levadopa?
When they are "on"
When they are "off"
Whenever
Depends on what you are training
Which of the following is the most common type of MS?
Remitting / Relapsing MS
Primary Progressive MS
Secondary Progressive MS
All similar prevalence
Which of the following are common impairments of MS? (tick all that apply)
Tremors
Decreased muscle strength
Decreased thermoregulation
Spasticity
Management of fatigue and heat sensitivity in an MS pt should include?
Progressive training/pacing
Avoid strenuous exercise on days pt reports increased systemic fatigue
Exercise in a cool environment
Wear loose light clothing
All of the above are correct
Common weaknesses/impairments associated with Fasioscapular Dystrophy are? (tick all that apply)
Weakness of scapular stabiliser (winging scapulars)
Weakness of gluteals
Weakness of traps
Hyperlordosis
Typical symptom behaviour of Myasthenia Gravis is...
Pt wakes up feeling fine, but feels incredibly weak by end of the day
Pt wakes up feeling very weak, but gradually improves as day goes on
Strong night pain, wake up with sore muscles
None of the above
BPPV occurs when...
The otoconia (crystals) move from the SCC's to the utricle
The otoconia (crystals) move from the utricle to the SCC's
Unilateral damage to vestibular / inner ear system
Bilateral damage to vestibular / inner ear system
Pt's suffering from BPPV typically have hearing loss or tinnitus (ringing in ears).
True
False
As the brain is not receiving signals from either side in Bilateral Vestibular Loss, the pt does NOT suffer from...
Oscillopsia
Dizziness, vertigo or nystagmus
Imbalance
Walking impairments
In which form of BPPV does nystagmus only stop when the pt is moved out of the provoking position?
Canalithisis (otoconia are free floating in SCC)
Cupulolithisis (otoconia attach to the cupula)
What are the 3 common causes of dizziness we learnt about? (select 3)
VBI
Multiple Sclerosis
BPPV
Peripheral Vestibular Hypofunction
Sudden drops in BP
Symptoms of peripheral vestibular hypofunction usually persist for long?
< 1 min
~ 30 mins
3 - 4 days
Up to a week
Oscillopsia is?
Sensation that there is no gravity
Sensation that surrounding environment is constantly in motion
Sensation just before vomiting
Honestly couldn't care less
When assessing for Vertebro-basilar Insufficiency you should be watching for?
Nystagmus and vomiting
3 Ns and 5 Ds
5 D's and 3 N's
None of the above
To assess the Ant. and Post. SCC's for BPPV, which test would you use?
Dix-Hallpike
BBQ Roll
Head Thrust test
Roll test
To assess the horizontal SCC for BPPV, which test would you use?
Dix-Hallpike
BBQ Roll
Head Thrust test
Roll test
When assessing for peripheral vestibular hypofunction, which tests would you use? (select 3)
Dix-Hallpike
Head thrust test
Dynamic visual acuity test
Eply's
Head shaking nystagmus
If you have a positive Dix-Hallpike test, meaning the otoconia are in the ant. or post. SCC, what would you do for treatment? (select 3)
Eply's Maneuver
BBQ Roll
Cervical spine PROM
Vestibular rehab exercises
Education (e.g. provoking positions, falls prevention)
If you have a positive Roll test, meaning the otoconia are in the horizontal SCC, what would you do for treatment? (select 3)
Eply's Maneuver
BBQ Roll
Cervical spine PROM
Vestibular rehab exercises
Education (e.g. provoking positions, falls prevention)
What is the recommended minimum times per day a vestibular pt should perform their exercises?
1
3
10
58
Dystonia is characterized by...
Contractures causing lack of voluntary movement
Repetitive movements caused by hypo-activity in motor cortex
Voluntary muscle contractions
Involuntary muscle contractions
The leading hypothesis for dystonia is that it is a network disorder between the basal ganglia, cerebellum and motor cortex, that leads to too much excitement and too little inhibition.
True
False
Which of the following is NOT a common impairment of dystonia?
Contractures in direction of pull
Spasticity
Poor voluntary muscle recruitment
Pain
Assessment of dystonia should include... (select all that apply)
ROM (active and passive)
QoL questionnaire
Gait analysis
Functional assessments
Really only symptomatic treatment for dystonia is currently available. Of this, what is the best option?
Deep brain stimulation
Muscle relaxant medications
Physical therapy
Botox
Selective denervation surgery
Limitations of botox in treatment of dystonia? (tick all that apply)
Muscle hypertrophy
Decreased effectiveness over time
Dysphagia
Expensive and painful
Cyclic (every 12 weeks)
There is only low quality evidence for PT in treatment of dystonia. However what are some proposed benefits for it as an adjuvant to Botox? (select 3)
Lengthen botox cycle
Eliminate dysphagia
Amplify effects of botox
Reduce side effects of botox (e.g. reduce muscle atrophy)
Which of the following is recommended in treatment of Writer's cramp (impairment of focal dystonia in hands)?
Ultrasound to wrist extensors
Write smaller and tighter letters/words
Modify pt's pen use (e.g. add rubber grip)
None of the above
A patient who you have been encouraging to start a gradual running program has started to go for a couple of walks this week. What stage of change is this patient in?
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Which of the following is correct? It is recommended that...
Older people get some form of physical activity, no matter age, weight, health or abilities
Older people should be active every day
Older people should accumulate at least 30 mins of moderate intensity activity daily
Older people should gradually build up to recommended amount, type and frequency
All of the above are correct
How often should older people be asked about falls?
Every GP visit
Once a year
If they have a fall
Whenever you remember
Which of the following are triggers for further fall assessment? (select all that apply)
> 1 fall in last year
Fall resulting in injury
Symptoms of dizziness
TUG > 25 seconds
Evidence of fear of falling
SPLATT (post fall evaluation), stands for?
Symptoms, previous falls, location, activity, time, trauma
Signs, previous falls, location, action, time, tingling
Seriousness, previous falls, location, action, trauma, trauma
Which of the following is FALSE of the Otago Exercise Program?
4-5 group sessions, prescribing strength and balance exercises
Pt's need to be able to stand on 1 leg for 3-5 seconds
35% falls reduction
Includes a walking plan
You have a pt who has displayed fear of falling and is looking for a community exercise program. Which is MOST appropriate?
Stepping On Program
LiFE
Matter of Balance
Tai Chi
Dual tasking in healthy adults requires 2 things. These are?
Attentional and arousal
Attention and cognitive awareness
Sound vision and cognitive awareness
Arousal and no cognitive deficits
Which of the following are good strategies to employ when treating an Indigenous pt? (tick all that apply)
Get into contact with Indigenous liaison officer if possible
Avoid using medical jargon
Identify the nationhood of the Aboriginal individual
Identify, respond to and document specific cultural and spiritual needs
Confirm that information has been understood
Which of the following is TRUE?
Buoyancy means increased compressive forces on joints
Aquatic physio has no proven psychological benefits
The hydrostatic pressure of water can decrease swelling, increase venous return and increase resting muscle blood flow
Buoyancy decreases ROM in joints
The benefits of aquatic physio to the MSK system are? (tick all that apply)
Decreased weight bearing / compressive forces
Muscle strengthening
Increased blood flow = better muscle performance
Increased tropomyosin released
Which of the following is NOT a contra-indication to aquatic therapy?
Infections
Bowel accident
Wound care
These are all contra-indications
Telerehabilitation is only for rural / remote patient's?
TRUE
FALSE
Which of the following are "red flags" / inhibit use of telehealth? (tick all that apply)
Poor electricity / internet connect
Poor vision and/or hearing impaired
Need to assess functional mobility
Pt has demonstrated risk behaviours (e.g. poor impulse control)
Which is the most superior response to controlling a risk?
Substitute
Isolate
Eliminate
Administrative controls
It is appropriate to use personal training as the sole or primary means to control a risk?
TRUE
FALSE
Which of the following is NOT a hazardous manual task assessment tool?
PErforM
ManTRA
RULA
RUG - ADL
REBA
The 3 elements of Human Factor / Ergonomics are? (select 3)
Anthropometrics
Cognitive
Physical
Organizational
Participatory ergonomics refers to...
Participating in the environment to experience first hand the ergonomics
Maximising involvement of the workers as they are the expert of their job
Understanding the task being performed
None of these seem to be correct
Which of the following is NOT a psychological risk factor for LBP?
High job security
High job demand
Low job satisfaction
Low social support
Which of the following are risk factors for neck pain (while at work)?
High job demands
Posture
Co-morbidities
All of the above
Aquatic physio __________ exercise-induced asthma.
Increases
Decreases
Has no effect on
Cervical dystonia usually involves shortening primarily of which muscle?
Scalenes
SCM
Upper traps
Abdominals
Which of the following is NOT an ocular motor test?
Smooth pursuit
Vergence
Dynamic visual acuity
Saccadic eye movements
Mysathenia Gravis is compounded / made worse by?
Repetitive movements
Poor proprioception
Exercise
Massage
