Cerebrovascular Accident

Question 1

Stroke

Answer 1

Ischemia - results from a brain embolism from cardiac or arterial sources

Hemorrhage results from subarachnoid and intracerebral hemorrhages in 13% of strokes

Cerebral anoxia and aneurysm may result from hemorrhage and have similar treatment strategies

Question 2

Transient Ischemic Attacks

Answer 2

(TIA) may result from vascular disease in the brain and may cause mild, either single or repetitive neurological symptoms. TIAs are sometimes referred to as ministrokes

Question 3

Impairment and functional limitations

Answer 3

Motor dysfunction including hemiplegia
impairment in trunk and postural control, balance/standing activity, communication (aphasia, dysarthria), cognition/perception, UE ROM/subluxation/edema/tone/, sensation, vision, psychosocial

Question 4

OT Evaluation

Answer 4

begins with client-centered assessments with a top-down approach focusing on the client’s role and the OP related to those roles
Assess self care through observation and Barthel, FIM, COPM, AMPS, stroke impact scale, neurobehavioral evaluation

Assessing performance skills and client factors can also be assessed through functional task performance.. assessment of UE function and sensation

Question 5

Motor Learning Ability

Answer 5

the client’s ability to solve challenges of movement for mobility and UE use, is critical for recovery from stroke