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Stroke Recovery and OT Implications within the Continuum

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1.  What is the prevalence of stroke survivors according to Centers for Disease Control? 1 Million 3 Million 5 Million 500,000

2.  Which statement is true regarding the association between rehabilitation outcomes and disability status of stroke survivors? Patients who get discharged home are fully independent. Patients are ready to resume their life roles upon completion of the rehab course. Short hospital length of stays translate to good rehab outcomes. Majority of patients with mild impairments may benefit from early rehabilitation to increase participation.

3.  The reversible depression of neural functions that are anatomically and functionally linked to the damaged/infarcted area is known as: Diaschisis or cerebral shock Ischemic penumbra Cerebral edema Neurplasticity

4.  Which of the following studies does NOT lend evidence related to early mobilization during the acute stages of stroke recovery? VECTORS FLAME AVERT EXCITE

5.  Based on studies on early mobilization for stroke survivors during the acute stages of recovery: Therapy should be intensive and frequent Therapy should be frequent but brief and not too intense Therapy should be kept at a minimum frequency (e.g. once weekly) Therapy should be avoided until the patient is in short term rehab placement or discharged home

6.  According to evidence related to neuroplasticity and functional recovery post-stroke, the main determinants of a positive outcome are: Prior learning and experience, functional rehabilitation after brain injury, extent of brain damage Technological advances, early mobilization, extent of lesion damage Therapists' skills, pharmacological cocktails, age of the patient Type of insurance, type of therapy setting, intensity of rehab

7.  Which statement is true regarding mechanisms of functional recovery? The presence of compensatory movement is evidence of poor outcome. The unilateral dominance and recruitment of the less affected hemisphere is associated with a desirable outcome. Learned non-use or misuse of the impaired limb may be overcome through structured and reinforced practice schedule. Regeneration of prior neural connections is key to positive outcome.

8.  Which of the following is NOT a common compensatory strategy associated with stroke recovery? Trunk flexion for inadequate reach Increased MCP flexion for poor PIP control Tenodesis powered grasp and release Tremors

9.  Which of the following are a set of unmet needs that are well-documented among chronic stroke survivors? Health management, return to work, and community participation Social skills training, cognitive-behavioral, and speech-language training Home program, adaptive equipment and ambulatory device training Unrestricted outpatient therapy and home health services

10.  A key goal of occupational therapy in primary care is: Restoration of upper limb function Identify risks for secondary impairments Provision of adaptive equipment and home modifications Case coordination and discharge planning