A therapist is performing a chart review on a patient with T…

A therapist is performing a chart review on a patient with TBI in acute care.  The therapist notes that the Agitated Behavior Scale was completed with scores of “4-Present to an extreme degree” for “short attention span, easy distractibility, inability to concentrate” and “impulsive, impatient, low tolerance for frustration.” The therapist’s goals for the patient are ambulation without an assistive device, improving stair negotiation, and reducing falls risk.  Which strategy would be MOST appropriate for this patient?

An outpatient therapist is working with a new patient who is…

An outpatient therapist is working with a new patient who is 6 weeks post spinal cord injury who has limited visits based on insurance and a primary goal of increasing walking distance.  The patient’s ISNSCI classification worksheet is below. According to the locomotor training CPG, and based on this patient’s functional presentation, which of   the following interventions should be prioritized?

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?