Bobath and Brunstromm questions.docx

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    Bobath1. The treatment plan for a patient with hemiplegia is based on the theory of reinforcingnormal movement through keypoints of control and avoiding all reflex movement patternsand associated reactions:

    a. Bobath c. Roodb. Kabat d. Brunnstrom

    2. Bobath technique is based on retraining normal patterns of movements by initially elicitingassociated reactions and primitive reflexes. Bobath is also a supporter of using the prinicipleof irradiation in treating the hemiplegic side of the Pt.a. Both statements are trueb. Both statements are falsec. First statement is true while 2 nd is falsed. First statement is false while 2 nd is true

    3. In treating a neurologically impaired patient, which of the ff. best exemplifies the theory ofBOBATH?

    a. The development sequence is used in conjunction with PNF techniques.b. Patient is encouraged to use associated reactions.c. Maximal resistance for maximal contractiond. Treatment should be active and dynamic

    4. The Bobaths have emphasized and believed that sensory disturbances may contribute toabnormal coordination and decreased motor control. The bobath technique can be used toeither facilitate tone or inhibit tone by manual handling of the key points of control.a. Both statements are trueb. Both statements are falsec. First statement is true while 2 nd is false

    d. First statement is false while 2nd

    is true

    5. According to Bobath, the following are the first muscles to be affected by spasticity exceptfor:

    A. Elbow flexorsB. Scapular depressorsC. Ankle plantarflexorsD. Knee extensorsE. NOTA

    Brunnstrom

    1. You are treating a Pt. who has suffered a CVA eight weeks ago. The Pt. is demonstratingisolated joint movements that are performed with coordination. According to brunnstrom,which stage of recovery is the patient in?a. 3b. 4c. 5d. 6

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    2. A client who has suffered a stroke four weeks ago is beginning to show the ability toproduce movement patterns not dictated solely by limb synergies. According to Brunnstrom,this client is in which stage of recovery?a. 2b. 3c. 4d. 6

    3. You are treating a neurological patient in a rehabilitation unit. You are treating the patientaccording to the theories of Brunnstrom. Which of the following would be an appropriatetreatment emphasis according to Brunnstrom?

    A. Limb synergies are a necessary intermediate stage of recovery and the patientshould be encouraged to use limb synergies patterns

    B. Patient should learn diagonal pattern of movementC. Do no reinforce abnormal patterns of movementD. Do not use associated reactions

    4. Brunnstrom method:a. A method of exercise treatment using classical PNF methods designed around

    predetermined diagonal-spiral movements that are repeated many timesb. A method using cutaneous stimulation (brushing and icing, etc.) to increase

    gamma efferent activityc. A method of exercise that uses extensive bracing to allow desired movement

    while prohibiting other movementd. An ecclectic program used in hemiplegia rehabilitation employing central

    facilitation, PNF, and peripheral cutaneous stimulation to move the patientfrom mass synergy reactions to voluntary motion contained in synergies, and

    then to refined voluntary motion control

    5. A pt. who suffered a stroke 2 months ago is starting to develop a typical arm posture. All ofthe following are components of typical arm posture EXCEPT:

    a. Shoulder Adduction and Internal rotationb. Forearm pronationc. Wrist Extension and Finger Flexiond. Elbow flexione. NOTA