Motor Reeducation - Nbcot Registered Occupational Therapists Otr
- What is the primary goal of motor reeducation after neurologic injury?
- Improve selective, coordinated, task-specific voluntary movement. Aims to enhance purposeful, integrated movements for specific functions post-neurological damage.
- Which sensory reeducation activity most directly targets stereognosis?
- Identify common objects by touch without vision. Stereognosis involves tactile object recognition, directly practiced through blind identification.
- Which sequence is the standard progression for desensitization stimulus intensity?
- Least noxious to most noxious, increasing duration and pressure gradually. Starts mild to build tolerance, progressively intensifying to normalize sensitivity.
- What is the purpose of graded desensitization for hypersensitivity?
- Reduce pain response by controlled, progressive exposure to stimuli. Habituation reduces hypersensitivity by systematically building tolerance to irritating stimuli.
- What is the best feedback strategy to promote motor learning independence over time?
- Fade extrinsic feedback frequency and encourage self-evaluation. Gradually reduces external input to build internal monitoring and autonomy.
- Which intervention best supports motor reeducation for hemiparesis using bilateral coupling?
- Bilateral arm training with symmetrical, simultaneous movements. Leverages intact side to facilitate movement in paretic limb via interlimb coordination.
- Which feedback focuses on the result of the movement: KP or KR?
- Knowledge of results (KR). Informs about achievement of the goal, guiding outcome-based adjustments.
- Identify the best motor reeducation approach for apraxia: strength training or strategy training?
- Strategy training with cueing, sequencing, and errorless learning as needed. Apraxia requires cognitive strategies to compensate for motor planning deficits, not just strengthening.
- Which feedback type is intrinsic rather than extrinsic in motor learning?
- Intrinsic sensory feedback from vision, proprioception, and tactile input. Comes from the performer's own senses, unlike external sources like therapist comments.
- What is the best immediate modification if desensitization causes lingering pain after treatment?
- Reduce intensity or duration to keep symptoms short-lived and tolerable. Adjusts to prevent prolonged discomfort, ensuring safe and effective habituation.
- What is the key motor learning variable manipulated by blocked versus random practice?
- Practice order: blocked = same task; random = varied tasks. Blocked repeats one skill for consistency; random intermixes for adaptability.
- What is mirror therapy primarily intended to address in motor reeducation?
- Improve motor output and body representation using visual feedback. Uses mirrored illusions to enhance motor control and cortical mapping in affected limbs.
- What is an essential safety focus when protective sensation is absent in a hand?
- Skin protection: avoid heat, sharp objects, friction, and pressure injuries. Prioritizes preventing burns, cuts, and ulcers due to impaired danger detection.
- Which principle best guides sensory reeducation progression: increase or decrease stimulus complexity?
- Increase complexity and decrease external cues as performance improves. Progression builds skills by gradually heightening demands and reducing guidance to foster independence.
- What is the primary goal of sensory reeducation after peripheral nerve injury?
- Restore functional sensibility via graded sensory discrimination training. Targets recovery of practical sensation through progressive exercises enhancing discrimination after nerve damage.
- Which practice schedule is most associated with better long-term retention: blocked or random?
- Random practice. Varied sequencing enhances retention by promoting contextual interference and deeper processing.
- What is stimulus discrimination training in sensory reeducation?
- Patient distinguishes qualities such as texture, shape, size, or weight. Develops ability to differentiate sensory attributes for refined perception in daily tasks.
- Which option is the best first step when a client cannot detect heat due to sensory loss?
- Teach compensatory safety strategies and environmental modification. Prioritizes risk reduction through adaptations when sensation impairs hazard detection.
- What is sensory localization training?
- Patient identifies the precise point of touch on the skin. Trains accurate mapping of touch location to improve functional sensory awareness.
- What is the key difference between protective sensation training and discriminative sensory reeducation?
- Protective = safety/compensation; discriminative = localization/identification. Protective emphasizes injury prevention strategies, while discriminative hones precise sensory perception skills.
- Which feedback focuses on movement quality rather than outcome: KP or KR?
- Knowledge of performance (KP). Addresses how the movement was executed, aiding technique refinement.
- Which instruction best supports sensory reeducation learning during practice: eyes open or eyes closed?
- Begin with vision, then progress to eyes closed for discrimination carryover. Visual input aids initial learning, with progression to no vision promoting sensory reliance.
- Which option indicates early-phase sensory reeducation is appropriate after nerve repair?
- Return of deep pressure or moving touch with absent/poor discriminative touch. Early training starts when basic sensations return, before fine discrimination develops.
- Which technique is most appropriate for paresthesia management by altering sensory input?
- Sensory substitution or competing stimuli (e.g., vibration, pressure, texture). Modulates abnormal sensations by introducing alternative inputs to override paresthesia.
- Which intervention best reflects task-oriented motor training?
- Practice meaningful functional tasks in context with repetition and feedback. Emphasizes real-world activities to promote skill acquisition through practice and correction.