CVA Flashcards
Primary risk factors for CVA
HTN
cardiac disease or arrhythmias
diabetes
smoking
TIAs
Secondary risk factors for CVA
obesity
high cholesterol
things that lead to HTN
inactivity
alcohol
TIA is usually in which arteries
carotid and vertebrobasilar
Stroke in evolution is
thrombus that gradually progresses
neurological deficits are not seen for one to two days after
Ischemic strokes includes
embolus
thrombus
Embolus
CVD
embolus can be solid, liquid or gas
With an embolus, because there is sudden onset of occlusion, tissues …. to infarct can sustain higher permanent damage than those of thrombotic infarcts.
distal
An embolic CVA occurs rapidly with no warning, and often presents with a
headache
Thrombus is
an atherosclerotic plaque
Thrombi are … and symptoms can appear in ….
Usually occurs during … or upon awakening from …
variable
minutes to several days
sleeping
MI or post-surgery
Hemorrhagic stroke is from ..
It occurs when?
Symptoms evolve in relation with…
Roughly half the deaths of this type of stroke occur within…
HTN
during the day
speed of the bleed
48 hours
Left hemisphere CVA
weakness of R side
increased frustration
decreased processing
possible aphasia
possible dysphagia
possible motor apraxia
decreased discrimination between L and R
R hemianopsia
Right hemisphere CVA
weakness of L side
decreased attention span
left hemianopsia
decreased awareness and judgment
memory deficits
left inattention
decreased abstract reasoning
emotional lability
impulsive behaviors
decreased spatial orientation
Brainstem CVA
unstable vitals
decreased consciousness
decreased ability to swallow
weakness on both sides
paralysis on both sides
Cerebellum CVA
decreased balance
ataxia
decreased coordination
nausea
decreased ability for postural adjustment
nystagmus
Flexor synergy of scapula
elevation and retraction
Flexor synergy of shoulder
abd and ER
Flexor synergy of elbow
flex
Flexor synergy of forearm
sup
Flexor synergy of wrist
flexion
Flexor and extensor synergy of fingers and thumb
flex, add
Extensor synergy of scapula
depression and protractionE
Extensor synergy of shoulder
IR and add
Extensor synergy of elbow
ext
Extensor synergy of forearm
pron
Extensor synergy of wrist
ext
Flexor synergy of hip
abd, ER
Flexor synergy of knee
flex
Flexor synergy of ankle
DF and sup
Flexor synergy of toes
ext
Extension synergy of hip
ext, IR and add
Extension synergy of knee
ext
Extension synergy of ankle
PF and inversion
Extensor synergy of toes
flexion and add
NIH stroke scale measures
acute CVA relative to impairment
Functional Independence Measure measures
level of burden through assessment of mobility and ADL management
Stroke Impact Scale measures
physical and social disability or level of impairment secondary to CVA
Fugl-Meyer assesses
motor, sensory and balance impairment; also assesses pain and ROM
