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Which theory focuses on motor development through CNS maturation?
Hierarchical Theory
What are Central Pattern Generators (CPGs) according to the Motor Programming Theory?
Hardwired neural circuits for specific motor functions
How are complex movements explained in Reflex Theory?
By chaining reflexes together
What is the primary limitation of Reflex Theory?
Cannot explain fast or novel movements
What does the Systems Theory emphasize in motor control?
Interaction of all systems to achieve task goals
What does the term 'degrees of freedom' refer to in Systems Theory?
Elements of a system that can be altered or manipulated
Which theory supports the idea of 'self-organization' in movement?
Dynamic Systems Theory
What is a principle of Hierarchical Theory?
Motor development occurs in steps driven by CNS maturation
According to Reflex Theory, what is required for motor output?
Sensory input
What is a limitation of Ecological Theory?
Lack of focus on nervous system contributions
What is an assumption of Dynamic Systems Theory?
New movements emerge due to changes in control parameters
What is a clinical implication of Hierarchical Theory?
Inhibit abnormal movement patterns and facilitate normal ones
Where should a therapist typically begin in therapeutic handling to facilitate movement?
Proximal points of control
Which of the following is NOT a key principle of NDT?
Movements should always be strictly sequenced through developmental positions
What is a component of sitting balance intervention in NDT?
Achieving midline and neutral pelvis
Who were the original developers of NDT?
Berta and Karl Bobath
What is the primary goal of Neurodevelopmental Treatment (NDT)?
Enhancing neuroplasticity and functional independence
What is a fundamental principle of NDT?
Handling and facilitation to optimize movement patterns
How do NDT practitioners assess movement?
By evaluating postural control and coordination impairments
What is the most appropriate next step in intervention for a stroke patient with balance issues?
Encourage the patient to maintain balance with isometric control
Which NDT principle is being applied when adjusting environment and providing feedback during gait training?
Sensory feedback is critical for movement refinement
A lower motor neuron (LMN) lesion is characterized by:
Flaccid weakness
Which of the following is a symptom unique to an upper motor neuron (UMN) lesion?
Hyperreflexia
Which of the following best describes paresis?
Partial loss of voluntary movement
Which motor control system maintains muscle tone?
Extrapyramidal system
The Modified Ashworth Scale is used to assess:
Spasticity
The Brunnstrom approach is primarily used to assess and treat:
Motor impairments following stroke
A hallmark of spasticity is:
Velocity-dependent increase in muscle tone
Which structure regulates muscle tone via gamma motor neurons?
Cerebellum and basal ganglia
The term 'dysmetria' refers to:
The inability to grade forces appropriately for a task
What is the function of the semicircular canals?
Detect angular acceleration of the head
What is the main function of the vestibulo-ocular reflex (VOR)?
Maintain gaze stability during head movement
What does the vestibulo-spinal reflex activate?
Activates muscle to keep the body from falling
What is NOT a function of the vestibular system?
Auditory perception
What is the function of the utricle and saccule?
Detect linear acceleration and gravity
What are the two main parts of the vestibular system?
Peripheral and central
What information is the vestibular system sensitive to?
Position of the head in space and sudden changes in head movement
Vestibular Quiz last question
In the Head Impulse Test, a positive finding suggests dysfunction in which structure?
Vestibulo-ocular reflex (VOR)
What is the primary goal of vestibular rehabilitation?
Enhancing gaze stabilization and balance
What is the most likely vestibular dysfunction evidenced by dizziness and focus issues after a viral illness?
Vestibular neuritis; VOR ×1 exercises
What type of nystagmus is associated with anterior canal BPPV?
Downbeating?
Which structure is assessed during proprioception testing in vestibular rehabilitation?
Semicircular canals
The HINTS exam is primarily used to differentiate between:
Central and peripheral vestibular dysfunction
What is the recommended frequency for VOR ×1 exercises in vestibular rehabilitation?
3x/day for 1-2 minute intervals