Therapeutic Interventions for – Verified Test Bank | Ch26

Chapter 26: Therapeutic Interventions for Complete Paralysis

Aaron B. Rindflesch, PT, PhD, NCS

Martha Freeman Somers, MS, DPT

Dennis W. Fell, PT, MD

Multiple Choice

1. You are performing transfer training with your patient who has T10 American Spinal Injury Association (ASIA) Impairment Scale B paraplegia. It is the first session of teaching the person how to use a transfer board for a wheelchair to mat transfer. In your clinical judgment, which of the following is the safest and most efficient sequence?

a. Remove armrest, park wheelchair at a 25–30 degree angle, place board, scoot hips forward, transfer

b. Park wheelchair at a 25–30 degree angle, remove armrest, scoot hips forward, place board, transfer

c. Remove armrest, scoot hips forward, park wheelchair at a 25–30 degree angle, place board, transfer

d. Park wheelchair at a 25–30 degree angle, remove armrest, place board, scoot hips forward, transfer

2. Which of the following patterns of manual wheelchair propulsion are recommended for a person with T12 ASIA A paraplegia?

a. Initiate the propulsive phase at top-dead center (at 12 o’clock) on the pushrim. Hands should be lifted above the top of the pushrim during the recovery phase.

b. Initiate the propulsive phase behind top-dead center (at 10 o’clock) on the pushrim. Hands should be lifted above the top of the pushrim during the recovery phase.

c. Initiate the propulsive phase at top-dead center (at 12 o’clock) on the pushrim. Hands should be kept below the top of the pushrim during the recovery phase.

d. Initiate the propulsive phase behind top-dead center (at 10 o’clock) on the pushrim. Hands should be kept below the top of the pushrim during the recovery phase.

3. Which of the following wheelchair users should use a power wheelchair rather than a manual wheelchair?

a. A person with a flexible pelvic and/or trunk asymmetry

b. A person with a C6 complete injury or higher

c. A person with a new spinal cord injury

d. A person with good insurance

4. Which of the following segments of the spinal cord is the most rostral (i.e., highest) segment that, if injured, is classified as paraplegia?

a. C8

b. T1

c. T2

d. T3

5. Which of the following represents the correct number of neurologic segments in the spinal cord?

a. 7 cervical, 12 thoracic, 6 lumbar, 5 sacral, and 1 coccygeal

b. 8 cervical, 12 thoracic, 5 lumbar, 6 sacral, and 1 coccygeal

c. 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal

d. 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal

Rational: The correct number of neurologic segments in the spinal cord is 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal.

6. An upper motor neuron lesion typically results in which of the following symptoms?

a. Unilateral weakness

b. Flaccid paralysis

c. Increased spinal reflexes

d. Regeneration of nerves

7. You are assigned to work with a 68 year-old male with newly acquired traumatic spinal cord injury. Which of the following is most likely?

a. Cervical injury most likely acquired in a fall

b. Lumbar injury most likely acquired in a motor vehicle accident (MVA)

c. Thoracic injury most likely acquired in a fall

d. Cervical injury most likely acquired as a result of violence

8. Which of the following peripheral nerve injuries in least likely to regenerate?

a. Neurapraxia

b. Axonotmesis

c. Neurotmesis

d. Axonopraxia

9. The tenodesis grasp is best classified as an example of muscle substitution using which of the following principles?

a. Substitution by synergist

b. Substitution using gravity

c. Substitution using tension in passive structures

d. Substitution using closed-chain mechanics

10. In order to accomplish a seated transfer with a patient who has complete paralysis of the lower extremities, you teach the patient to use the head-hips relationship described in this chapter. Which of the following statements best represents the head-hips relationship?

a. Move the head down and away from the surface transferring toward

b. Move the head up and away from the surface transferring toward

c. Move the head down and toward the surface transferring toward

d. Move the head up and toward the surface transferring toward

11. Which of the following is most likely to be a beneficial contracture following acquisition of spinal cord injury?

a. Knee flexion contracture

b. Ankle plantar flexion contracture

c. Hip flexion contracture

d. Long-finger flexor contracture