Intervention for Impaired Motor – Test Bank + Answers | Ch25

Chapter 25: Intervention for Impaired Motor Control—Movement

David M. Morris, PT, PhD, FAPTA

Laura K. Vogtle, PhD, OTR/L, FAOTA

Blair P. Saale, PT, DPT, NCS

Dennis W. Fell, PT, MD

1. This type of a task is best described as one activity that has a distinct beginning and end.

a. Discrete

b. Serial

c. Continuous

d. Closed

2. The following is a scaling problem that is characterized by an overestimation of the required force or range of movement needed for a task is characteristic of:

a. Coactivation

b. Hypometria.

c. Hypermetria.

d. Abnormal synergy.

3. Muscle weakness can be described as:

a. A positive sign

b. A positive symptom

c. A negative sign

d. A negative symptom

4. The following is true of central pattern generators (CPGs).

a. Activated primarily during tasks that require a high degree of conscious awareness.

b. Comprised of interneurons located in the spinal cord.

c. Considered to be part of the second level of movement control.

d. Located in cerebral cortex.

5. The following is true about our current understanding of neural plasticity.

a. Plasticity changes in response to one training experience can enhance the acquisition of similar but different behaviors.

b. Neural plasticity changes can occur with passive movement activities.

c. All neural plasticity changes are positive and helpful for recovery.

d. Neural plasticity is very unlikely in the adult brain.

6. The following is true of the Bobath approach or neurodevelopmental therapy (NDT).

a. An early focus of the approach was normalization of muscle tone.

b. An early focus of the approach was on a systems model of motor control.

c. The approach is directed primarily at influencing body structure or impairment-based problems.

d. The approach has changed little since introduced by the Bobaths in the 1950s.

7. When establishing a behavioral contract with a patient, which scenario is most compatible with a constraint induced movement therapy (CIMT) philosophy?

a. Patients are expected to use the protective safety mitt as much as possible while in their home setting. Social situations are not of concern because they could prove embarrassing for the patient.

b. Patients are never allowed to remove the mitt during the intervention period.

c. Patients are expected to remove the mitt when carrying out any activity for which they typically use two hands.

d. Caregivers are often encouraged to serve as the second hand when patients encounter a two-handed task in their home setting.

8. The following is true of locomotor training.

a. The approach is used exclusively to promote improved movement skills for persons with spinal cord injury.

b. The approach is carried out entirely on a treadmill.

c. When using the approach, patients are encouraged to bear weight onto parallel bars while walking on a treadmill.

d. During training, participants are encouraged to walk at speeds approximating normal walking speeds.

9. When used during CIMT, shaping activities differ from task practice activities in that:

a. Only task practice activities are designed to directly influence functional skills

b. More frequent feedback is provided during task practice activities compared to shaping activities

c. Negative feedback and/or criticism of performance are more acceptable for shaping than task practice activities

d. The set-up and progression of difficulty for a shaping task is typically more detailed and systematic than with a task practice activity.

10. The following is true of virtual reality (VR) training.

a. Presence refers to degree of immersion experienced by the participant.

b. Avatars are used during non-immersive VR systems.

c. VR systems can rarely approximate real-world environments.

d. Mirror therapy is a form of VR therapy.