Question 1

Which of the following standardized functional measures is LEAST useful to assess supine to sitting during an evaluation for a patient post-stroke?

Accepted Answer

The Fugl-Meyer Assessment is primarily focused on motor functioning, sensory functioning, balance, joint functioning, and range of motion, rather than specific functional transitions like supine to sitting. The other options are more directly related to or include assessments of functional mobility transitions.

Question 2

During an examination of a patient you complete an observational analysis of the patient's ability to transition from sitting in the wheelchair to standing.The patient places both hands on the armrests and as he attempts to rise,you note that his center of mass is too far posteriorly.He requires multiple attempts to come to stand as he continues to fall backward into the wheelchair.What phase of moving from sitting to standing will you focus initial intervention on?

Accepted Answer

The initial phase of moving from sitting to standing involves generating enough forward momentum to shift the center of mass anteriorly, which is crucial for successfully rising to a stand. Since the patient's center of mass is too far posteriorly, focusing on the flexion momentum phase, where the individual leans forward to create this necessary momentum, is appropriate for intervention.

Question 3

You evaluate a patient with a spinal cord injury at the C6 level in an inpatient rehabilitation setting.The patient is sitting in her wheelchair.To assess reaching and grasping of the upper extremity,you ask her to reach and pick up the remote control sitting on the bedside table in front of her.She tells you that she cannot grip or grab on to anything because of her injury.What is the most appropriate response?

Accepted Answer

A spinal cord injury at the C6 level typically results in partial paralysis of the hands and arms. Patients may not have the ability to grip objects in the usual way, but they can often learn alternative methods to grasp objects. Demonstrating a technique that utilizes the passive tension of the finger flexors to grasp objects can empower the patient and facilitate independence in daily activities.

Question 4

Which statement is TRUE regarding functional limitations and/or disability?

Accepted Answer

Not all functional limitations lead to disability; the relationship is not always linear, as some limitations can be managed or adapted to prevent disability.

Question 5

Which of the following statements accurately describes a functional examination?

Accepted Answer

Functional examinations often incorporate a mix of observational analysis and various measures (objective, subjective, and qualitative) to comprehensively assess an individual's functional capabilities.

Question 6

Which of the following descriptions best describes the essential components of the most common movement pattern for rolling from supine to left sidelying?

Accepted Answer

The correct sequence involves cervical flexion and left rotation to initiate the roll, followed by right upper extremity flexion and adduction to shift the weight, and then right lower extremity flexion and adduction to assist in rotating the lower trunk to the left. This sequence allows for a coordinated movement from supine to left sidelying.

Question 7

As part of the physical therapy evaluation for a patient post-stroke in an inpatient rehabilitation setting,you administer a standardized functional measure in which you assign a rating that corresponds to the amount of physical assistance the patient requires for a transfer (no assistance,minimal assistance,moderate assistance,maximal assistance,total assistance).What type of scale is this data?

Accepted Answer

This data is an example of an ordinal scale because it involves ranking or ordering of the levels of assistance required (no assistance, minimal assistance, moderate assistance, maximal assistance, total assistance) without specifying the exact difference between these levels.

Question 8

A patient you are examining in outpatient physical therapy has just received his power wheelchair.Which of the following standardized functional measures is the most appropriate to consider for this patient?

Accepted Answer

The Wheelchair Skills Test (WST) is specifically designed to assess a wheelchair user's ability to safely and effectively handle their wheelchair. It is the most appropriate choice for a patient who has just received a power wheelchair, as it evaluates skills directly related to wheelchair use.

Question 9

During the physical therapy examination,your patient completes the 10 m walk test in 7.2 sec.You document that the patient's gait speed:

Accepted Answer

A gait speed of approximately 1.39 m/s (10 meters in 7.2 seconds) is considered within normal limits for healthy adults.

Quiz 10: Examination and Evaluation of Functional Status and Movement Patterns