Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

Which therapeutic approach is beneficial for enhancing function in patients with hemiplegia?

1. Strength training of unaffected limbs

2. Bobath concept of neurodevelopmental therapy

3. Traditional physical therapy exercises

4. Aquatic therapy techniques

The correct answer is: Bobath concept of neurodevelopmental therapy

The Bobath concept of neurodevelopmental therapy is a therapeutic approach particularly beneficial for patients with hemiplegia. This method focuses on promoting normal movement patterns and function through a combination of sensory input and controlled movements. The aim is to facilitate the recovery of functional mobility and independence in daily activities while preventing the development of abnormal movement patterns that often accompany hemiplegia. This approach emphasizes the importance of the therapist's guidance in assisting the patient to engage in movements that allow for better control and integration of the affected side of the body. By utilizing specific handling techniques, the therapist can encourage more effective muscle engagement and coordination, which can significantly enhance the patient's overall functional performance. In contrast, other options may not directly address the unique challenges posed by hemiplegia. For example, strength training of unaffected limbs, while beneficial for overall strength, does not specifically target the neurological impairments associated with one-sided weakness. Traditional physical therapy exercises may lack the focus on neurodevelopmental techniques needed for optimal recovery in hemiplegic patients. Aquatic therapy techniques can provide a supportive environment for exercise but may not fully engage the brain's neuroplastic capabilities in the same way that the Bobath concept does.