Deck 10: Upper Extremity Function and Management

Question 1

In terms of neurological signs and symptoms,spasticity is considered a(n)_____ symptom of stroke.

A) positive
B) negative
C) early
D) abnormal

Answer 1

A
Positive symptoms are spontaneous,exaggerated disturbances of normal function and reaction to specific external stimuli.Positive symptoms include spasticity,increased deep tendon reflexes,and hyperactive flexion reflexes.

Question 2

A flexed elbow during an attempted overhead reach may be due to:

A) an attempt to shorten the lever arm for successful task completion.
B) soft tissue shortening.
C) triceps weakness.
D) all of the above.

Answer 2

D
Any of the above may contribute;flexing the elbow and making moving easier biomechanically,shortening of the elbow flexors,or weakness of the extensors can all result in the movement pattern.

Question 3

Mobilization of the scapula to prevent impingement should focus primarily on:

A) elevation/depression.
B) protraction/retraction.
C) protraction/upward rotation.
D) upward rotation/downward rotation.

Answer 3

C
These motions are critical to preserve as they will prevent subacromial impingement during overhead movements.

Question 4

All of the following activities inherently consider shoulder biomechanics except:

A) polishing a table, hand over hand.
B) reaching to the floor.
C) cradling the affected extremity and forward flexing to 90 degrees.
D) clasping the hands and reaching overhead.

Question 5

An inferior subluxation is due to:

A) deltoid weakness.
B) the weight of the arm.
C) capsular laxity.
D) a downwardly rotated scapula.
E) both b and d

Question 6

A sling can reduce a subluxation.

Question 7

Postural responses consistent with forward reach include:

A) anterior pelvic tilt.
B) trunk extension.
C) anterior weight shift.
D) all of the above.

Question 8

The structure(s)prone to shoulder impingement is(are)the:

A) long head of the biceps.
B) supraspinatus tendon.
C) subacromial bursa.
D) all of the above.

Question 9

The muscle primarily responsible for stability of the glenohumeral joint is the:

A) biceps.
B) deltoid.
C) supraspinatus.
D) subscapularis.

Question 10

Spasticity has been directly correlated with:

A) synergy patterns.
B) soft tissue contracture.
C) edema.
D) subluxation.

Question 11

Learned nonuse may be worsened by:

A) early splinting.
B) sling dependency.
C) neglect.
D) all of the above.

Question 12

Postural reactions during reaching are:

A) anticipatory.
B) a response to feedback.
C) a result of external perturbation.
D) static.

Question 13

The appropriate functional synergy for forward reach is:

A) scapula protraction, forward flexion, elbow extension.
B) scapula retraction, forward flexion, elbow extension.
C) scapula elevation, forward flexion, elbow flexion.
D) scapula retraction and upward rotation, forward flexion, and elbow extension.