Illinois Physical Therapy Hybrid Ebook

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Optimizing Outcomes in Rehabilitation: Motor Learning Principles and Beyond: Summary

125. Walter is engaged in high-intensity gait training in his stroke rehabilitation program. What types of training parameters would you expect him to have? a. Emphasis of aerobic exercise over repetitive task practice b. Emphasis on quality of movement over speed or distance, with assistance as necessary to ensure proper technique c. Highly challenging modifications to gait, such as walking different directions d. Workload that increases heart rate to between 50% and 70% of maximum heart rate (or Borg scale of 12) a. Can be difficulty to balance the benefits versus the deleterious effects of fatigue on learning b. Has not been shown to be a promising addition to training programs for enhancing motor learning c. Probably only works with gait training, particularly with use of the treadmill d. When separate from functional training, seems to work best when done after a practice session 127. Zongqi is an 80-year-old who is trying to 126. Which of the following about aerobic exercise to enhance training is true? improve her muscle strength to improve her ability to stand and walk. What are safe training parameters, considering that she does not have any predisposing risk factors? a. 1 set of maximal reps with good form at 3/10 difficulty b. 2 to 3 sets of 15 to 20 reps with good form at a 5/10 difficulty c. 2 to 3 sets of 8 to 12 reps with good form at an 8/10 difficulty d. 3 sets of 10 reps with good form at a 10/10 difficulty 128. About how much does task practice account for recovery after a stroke? a. 1/2 b. 0

129. How much practice is needed beyond mastery to ensure long-term retention of a skill? a. 10% b. 20% c. 40% d. 50% 130. Jill is organizing a softball skills camp for new youth players. How should she organize the camp to optimize the children’s learning? a. Half- to full-day practice sessions dedicated to each skill throughout the week b. Mixed skill practice and scrimmaging throughout the week c. One hour for each skill mixed with scrimmaging and mixed practice every day d. One hour for each skill on day 1, transitioning to mixed skill practice and scrimmaging by day 5 131. Lee is a 70-year-old with Parkinson disease He is working on gait training in therapy. Which practice method would probably have the best results? a. Aerobic training on a lower extremity ergometer until fatigued at moderate intensity b. Carrying a weighted pail across the grass outdoors to mimic Lee feeding his horses c. Stepping over obstacles in the gym until Lee can successfully navigate 7 out of 10 without loss of balance d. Walking as far as possible around the walking track with a wheelchair follow in case he becomes fatigued 132. Sophia is a 13-year-old with spastic diplegia CP who is practicing transfers into and out of her wheelchair with her PT. What would be the most beneficial method of practice? a. Breaking down each component of the transfer and practicing each part separately, focusing the most on the more difficult components b. Practice transfers to and from her wheelchair with added focus to aspects of the transfer that are more difficult c. Strength training to target key muscle groups involved in wheelchair transfers d. Working up to wheelchair transfers by scooting laterally back and forth on a mat table

c. 1/3 d. 1/5

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