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PT 10117 - Neuro Eval and Interv > CVA > Flashcards

CVA Flashcards

1
Q

what is CVA or stroke

A

sudden loss of neurological function d/t interruption of BF to brain

neuro deficits for at least 24 hrs

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2
Q

RIND can resolve spontaneously _____

A

when brain swelling subsides - w/in 3 wks

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3
Q

stroke is the leading cause of _____ worldwide and ____ cause of death in PH

A

stroke is the leading cause of disability worldwide and 2nd cause of death in PH

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3
Q

TIA

A

deficit is < 24 hrs

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4
Q

general impairments post-stroke

A

sensation

motor function

postural control and balance

speech, language and swallowing

perception and cognition

emotional status

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5
Q

impairments in (L) hemisphere damage

A

(R) hemiplegia

diff communication and sequential/linear processing

cautious, anxious, disorganized and hesitant

realistic appraisal of prob

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6
Q

impairments in (R) hemisphere damage

A

(L) hemiplegia

diff spatial-perceptual tasks, grasping whole idea

quick and impulsive

overestimates abilities

inc safety bcs poor judgement

more feedback

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7
Q

MSK complications

A

LOM

contractures

atrophy and weakness

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8
Q

osteoporosis complications

A

loss of bone mass per unit volume

from disuse and poor nutrition

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9
Q

neurological complications

A

seizures and hydrocephalus

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10
Q

timeline of hyperacute or acute phase

A

0-24 hrs

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11
Q

timeline of early rehabilitation phase

A

24 hrs to 3 mo.

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12
Q

timeline of late rehabilitation phase

A

3-6 mo.

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13
Q

timeline of chronic rehabilitation phase

A

> 6 mo.

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14
Q

problems in hyperacute or acute phase and early rehab phase

A

orthostatic hypotension

cognitive deficits

contractures

abnormal tone

dep on transfers and ADLs

bed sores

hemiplegia

dec balance and tolerance

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15
Q

goals in hyperacute or acute phase and early rehab phase

A

maintain ROM

prevent
- bed sores
- atrophy
- hemineglect

inc balance and tolerance

get out of bed ASAP

maintain or inc strength

16
Q

interventions in hyperacute or acute phase and early rehab phase

A

GBREs

proper breathing, pos and turning

ROM ex and light PREs

sitting and standing balance and tolerance

functional training

17
Q

true or false

early mob w/in 24 hrs is recommended

A

false dapat medically stable muna

18
Q

true or false

admission in ward is usual in stroke pt

A

false dapat stroke unit

19
Q

once medically stable what is the recommended PT duration

A

2x day for 45-60 mins

20
Q

problems in late rehab phase

A

balance prob

incoordination

diff in bed mob and transfers

diff walking

abnormal tone

hemiplegia

tightness and contractures

shoulder subluxation

21
Q

goals in late rehab phase

A

inc ROM

dec shoulder subluxation

improve bed mob and transfers

inc balance control

inc coordination

inc walking ability

inc strength

22
Q

interventions in late rehab phase

A

static and dynamic balance training

strength and functional activities

proper bed mob and transfers

ES for muscle re-educ

stretching and flexibility ex

AROM, PNF, coordination ex

gait training

23
Q

true or false

strength has no adverse effect on spasticity

A

true

24
Q

true or false

home based is no as effective in hospital based outpatient

A

false - equally effective

25
Q

late rehab phase ex duration

A

45 mins to 3 hrs for 3-5 days per week

26
Q

why is overhead pulley no recommended

A

inc jamming in shoulder or subluxation

27
Q

NMES guidelines in late rehab phase

A

NMES for shoulder subluxation but not pain

US for pain

28
Q

problems in chronic phase

A

hemiplegic arm and hemiplegia

dep ADLs

risk for falls

sensory deficits

poor endurance

postural and gait dev

risk for stroke

tightness/contractures

balance prob

29
Q

goals in chronic phase

A

inc use of hemiplegic arm

inc endurance

inc gait

inc muscle strength

fall prevention

correct posture

inc indep function

attain functional ROM

30
Q

interventions in chronic phase

A

CIMT

stretching and ROM ex

strength and functional training

postural control strategies

fall prevention strats and balance training

sensory re-educ

gait training

pt educ and lifestyle change

31
Q

CIMT is endorsed if

A

10° active finger ext
20° active wrist ext
limited sensory and balance prob
intact cognition

32
Q

true or false

task-specific training is only indicated for balance training

A

false- VR can also be used

33
Q

FES guidelines in chronic phase

A

FES on wrist and forearm to reduce motor impairment and improve functional recovery

can improve gait, strength and function but not sustained

34
Q

true or false

chronic phase emphasizes on community reintegration

A

true

PT 10117 - Neuro Eval and Interv (16 decks)

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