CVA Flashcards
Post CVA considerations
Resting SBP
Resting DBP
Rest HR
90
50
the chances for having a DVT post cvs is
30-75 percent
what are common problems post CVA
seizures cognitive problems dysphagia visuospatial and perceptual disturbances language deficits
compensatory strategies for dysphagia
thickening liquids
chink tuck during swallow
small sips
treatment for dysphagia
vitalSTIM NMES
Biofeed with mirror
posture/environmental set up
visuospatial and perceptual disorders
- attention deficits and distractibility
- homonymous hemianopsia and other visual field cuts
- body scheme (somatagnosia) and body image disorders/difficulty with R/L discrimination
- depth, distance, or vertical perceptual deficits
what is agnosia
the inability to recognize familiar objects using one or more of the sensory modalities, while often retaining the ability to recognize the same object using other sensory modalities
what is anosognosia?
the severe denial, neglect, and the lack of awareness of the presence or severity of one’s deficits
anosognosia is most in _____ hemi’s
left
what is dysarthria?
muscle dysfunction that leads to impaired verbal communication
dysarthria may affect what 4 things?
respiration
phonation
articulation
resonance
what is the treatment of dysarthria?
tongue and oral motor exercises
functional speaking practice
posture
aphasia is a _______ hemisphere injury, and it impairs the _______ and _______ of language
dominant
expression, understanding
what are the different types of aphasia
brocas, wernickes, global
what is apraxia?
can’t perform a task despite having the desire and the physical ability to perform them. The patient is unable to accomplish the task even though the instructions are understood.
apraxia is found with _______ lobe injury
parietal
what is the most common form of apraxia? what are examples of this apraxia?
buccofacial or orofacial
licking lips, whistling
what is limb-kinetic apraxia
inability to make fine, precise movements with an arm or leg
what is ideomotor aparxia and provide an example?
inability to make proper movement in response to a verbal command
can’t walk…asked to get coffee and they can
what is ideational apraxia?
inability to coordinate activités with multiple sequential movements such as dressing,eating and bathing
what is verbal apraxia?
difficulty coordinating mouth and speech movements on command
what is constructional apraxia?
inability to copy, draw, or construct simple figures
what is oculomotor apraxia?
difficulty moving the eyes on command
what is the speed of a household ambulator
.4 m/sec
what is the speed of a household ambulator
.4 m/sec
what is the speed of a household ambulator
.4 m/sec
to be a community amlbulator, one must have the ability to:
navigate changes in terrain avoid obstacles endure distance manage lighting changes manage visual and auditory distraction manage load carrying handle weather changes walk with sufficient velocity
to be a community amlbulator, one must have the ability to:
navigate changes in terrain avoid obstacles endure distance manage lighting changes manage visual and auditory distraction manage load carrying handle weather changes walk with sufficient velocity
to be a community amlbulator, one must have the ability to:
navigate changes in terrain avoid obstacles endure distance manage lighting changes manage visual and auditory distraction manage load carrying handle weather changes walk with sufficient velocity
what is the speed of a limited community ambulator
.4-.8 m/sec
what is the speed of a limited community ambulator
.4-.8 m/sec
what is the speed of a limited community ambulator
.4-.8 m/sec
what is the walking velocity for a community ambulatory?
1.2-1.4 m/sec
what is the walking velocity for a community ambulatory?
1.2-1.4 m/sec
what is the walking velocity for a community ambulatory?
1.2-1.4 m/sec
what is the velocity needed to cross a street at a spotlight?
1.2 m/sec velocity for 13-27 m
the ability to negotiate 7-8 curbs independently
what is the velocity needed to cross a street at a spotlight?
1.2 m/sec velocity for 13-27 m
the ability to negotiate 7-8 curbs independently
what is the velocity needed to cross a street at a spotlight?
1.2 m/sec velocity for 13-27 m
the ability to negotiate 7-8 curbs independently
Shoulder pain occurs in ____-____ percent of patients with stroke. Is this normal?
70-84%
no it is not normal
Shoulder pain occurs in ____-____ percent of patients with stroke. Is this normal?
70-84%
no it is not normal
Shoulder pain occurs in ____-____ percent of patients with stroke. Is this normal?
70-84%
no it is not normal
_____ is common in UE strokes with the presentation of downward rotation of the scapula with the glenoid fossa moving vertical to downward
subluxation
_____ is common in UE strokes with the presentation of downward rotation of the scapula with the glenoid fossa moving vertical to downward
subluxation
_____ is common in UE strokes with the presentation of downward rotation of the scapula with the glenoid fossa moving vertical to downward
subluxation
what can cause impingement?
marked spasticity
superior subluxation
muscle imbalance
loss of scapulohumeral rhythm