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Adv Pro > CVA > Flashcards

CVA Flashcards

1
Q

sudden, focal neurological deficit resulting from ischemic or hemorrhagic lesions in the brain

A

CVA

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2
Q

CVA from embolus (travelling clot) or thrombus (clot)

A

ischemic

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3
Q

CVA from bleeding in the brain

A

hemorrhage

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4
Q

warning signs of stroke (5)

A
  1. numb/weak
  2. confusion
  3. vision impaired
  4. dizzy
  5. headache
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5
Q

Clot-dissolving enzyme (drug) that must be given w/in 3 hours of onset of CVA.

A

TPA

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6
Q

contralateral hemiplegia/paresis and sensory loss w/ LE>UE

A

Anterior cerebral artery ACA stroke

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7
Q

contralateral hemiplegia/paresis and sensory loss. PAIN. Involuntary mvmt. Vision loss. Pusher syndrome

A

posterior cerebral artery PCA stroke

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8
Q

contralateral hemiplegia/paresis and sensory loss w/ UE>LE

A

middle cerebral artery MCA stroke

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9
Q

complete occlusion = death. Incomplete occlusion = mix of ACA and MCA

A

Internal carotid artery stroke

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10
Q

mix of ipsilateral and contralateral signs. Locked in syndrome

A

vertebral and basilar artery stroke

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11
Q

L lesion characteristics

A

Use demonstration

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12
Q

R lesion characteristics

A

Use vc

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13
Q

reduction/loss of proprioception, kinesthesia, superficial touch, pain and temp. Also hypersensitivity

A

somatosensation deficit

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14
Q

visual field cut. MCA and PCA strokes

A

hemianopsia

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15
Q

decreased balance, dizziness/vertigo

A

vestibular impairments

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16
Q

constant burning, intermittent sharp pain. PCA lesion

A

thalamic sensory syndrome

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17
Q

most common in early stages of recovery. Less functional if persists

A

flaccidity

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18
Q

fewer motor units recruited. Lower discharge freq of motor units. Distal>prox

A

weakness

19
Q

stereotyped, mass mvmt patterns. Create loss of isolated mvmts

A

synergies

20
Q

unintentional mvmts of involved limb resulting from intentional mvmts of uninvolved limb

A

associated reactions

21
Q

Associated reaction where flexion evokes flexion. ext evokes ext. Same

A

UE

22
Q

Associated reaction where flexion evokes ext and ext evokes flexion. Opposite

A

LE

23
Q

which tx considerations exist if primitive reflexes return (2)

A

PNF patterns

Development sequence

24
Q

problems w/ timing, sequencing and grading force of mm activation. Often seen w/ cerebellar or basal ganglia involvement

A

decreased coordination

25
Q

set of commands that result in a coordinated movement

A

motor program

26
Q

CVA associated w/ difficulty planning and initiating movements

A

Left CVA

27
Q

CVA associated w/ difficulty sustaining mvmts

A

Right CVA

28
Q

apraxia is more common in _____ lesions

A

left

29
Q

mvmt not possible on command. May occur automatically when not thinking about it

A

ideomotor apraxia

30
Q

movement not possible on command or automatically

A

ideational apraxia

31
Q

CVA gait deficits (3)

A
  1. trendelenburg
  2. scissoring
  3. equinus
32
Q

speech flows smoothly but lacks comprehension

A

receptive aphasia (Wernicke’s)

33
Q

speech is slow and hesitant with limited vocab but comprehension is good

A

expressive aphasia (Broca’s)

34
Q

impairment of speech and comprehension

A

global aphasia

35
Q

2 things to keep in mind involving cognitive impairments

A
  1. know level of consciousness

2. use simple commands

36
Q

CVA pt. Cautious. Slow. Depression. Irritability. Use demonstration

A

left lesion

37
Q

CVA pt. Impulsive. Quick. Safety issues. Use vc

A

right lesion

38
Q

pt ignores stimuli on one side of body. usually R CVA

A

unilateral neglect

39
Q

pushes to affected side. Tends to extend and resist flexion

A

Pushers syndrome

40
Q

difficulty perceiving differences and relationships btwn objects in the environment

A

spatial relations deficits

41
Q

general CVA PT goals

A
  1. upright and WB
  2. posture control
  3. balance
  4. ADLs
42
Q

Brunnstrom’s 6 stages of motor recovery (6)

A
  1. flaccidity
  2. initial spasticity
  3. peak spasticity
  4. spasticity declines
  5. increase strength
  6. control near normal
43
Q

sensory stimulation for mm facilitation

A
  1. quick stretch
  2. tapping
  3. resistance
  4. traction (flex synergy)
  5. approx (ext synergy)
44
Q

the majority of intervention for CVA should focus…(2)

A
  1. functional tasks

2. transitional movements

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