A therapist is evaluating a patient who is 14 months post TB…

A therapist is evaluating a patient who is 14 months post TBI in an outpatient clinic.  The patient presents with symptoms of uncoordinated eye movements, profound gait and trunk ataxia.  Balance deficits are pronounced in standing with eyes open and eyes closed.  Examination of the extremities reveals little change in tone or coordination.  What area of the CNS is associated with the patient’s dysfunction?

A physical therapist enters the room of a 68-year old patien…

A physical therapist enters the room of a 68-year old patient who had a right middle cerebral artery stroke.  The patient is seated in the wheelchair, clearly trying to self-propel, but is going in circles.  The therapist also notes that the patient’s left hand is dangling off the arm rest, and the patient has not opened or eaten any of the food placed on the left side of the tray, leaving the entire left half untouched.  Which of the following post-stroke sequelae should the therapist suspect?

A therapist is performing the sensory portion of the ISNSCI…

A therapist is performing the sensory portion of the ISNSCI exam for a new patient in acute care.  The patient is 7 days post spinal cord injury from a diving accident, and the MD confirmed that spinal shock has ended.  When conducting pinprick testing at the nipple line, the patient cannot distinguish sharp from dull.  How would you classify this finding for pinprick sensation at the level of T4?

A physical therapist is performing a chart review on a patie…

A physical therapist is performing a chart review on a patient with a spinal cord injury.  The therapist is looking at the ISNSCI worksheet to ascertain the patient’s neurologic level of injury.  The therapist notes the following: Lack of motor function below C7 Lack of sensation below C8 Lack of light touch anal sensation Intact anal pinprick sensation What is this patient’s neurologic level of injury?