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Acute Flaccid Myelitis: Overview of Treatment and Case Studies (Part 2)

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1.  A confirmed case of AFM is defined as
  1. Progressive weakness and longitudinally extensive involvement on MRI
  2. Acute onset of focal weakness AND involvement of the gray matter on MRI
  3. Acute onset of weakness that progresses over time
  4. Acute onset of focal weakness AND involvement of the white matter on MRI
2.  Persons with AFM can present with:
  1. Monoplegia
  2. Tetraplegia
  3. A need for a ventilator
  4. All of the above
3.  Which of the following are NOT one of the initial 5 key components of ABRT:
  1. Vibration
  2. Functional electrical stimulation
  3. Weight bearing
  4. Task Specific Practice
4.  Which of the following help achieve upper extremity weight bearing?
  1. Standing
  2. Quadraped
  3. Locomotor training
  4. Supine
5.  Which of the following is NOT a known secondary complications of AFM?
  1. Shoulder subluxation
  2. Cognitive deficits
  3. Scoliosis
  4. Fractures
6.  How can you help improve a shoulder subluxation?
  1. Bracing
  2. Kinesiotape
  3. Functional electrical stimulation
  4. All of the above
7.  What are the 5 Rs of task specific training?
  1. Relevant, random, repetitive, reconstruction, reinforced
  2. Redundant, random, reinforced, rehabilitation, repetitive
  3. Relevant, repetitive, reconstruction, reinforced, rehabilitation
  4. Reinforced, random, repetitive, redundant, Relevant
8.  What are the long term outcomes for children with AFM after intensive rehabilitation?
  1. 50% have full improvement after 10 years
  2. 25% present with monoplegia after 6 months
  3. There is no data to determine long term outcomes
  4. Rehab does not help
9.  Without long term outcomes what should an OT do when discharging a patient with AFM?
  1. Create a custom home rehabilitation program for the patient and coordinate follow up care to continue to monitor patient.
  2. Have the family return in 6 months, but do not worry about family training.
  3. Ensure the patient does not reintegrate into their school.
  4. Never discharge a patient
10.  What do we know about AFM?
  1. Progress and recovery can be slow.
  2. It can reoccur.
  3. Long term care is not needed.
  4. Contractures or joint deformity are rare.