CVA

Question 1

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

Answer 1

CVA

Question 2

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

Answer 2

ischemic

Question 3

CVA from bleeding in the brain

Answer 3

hemorrhage

Question 4

warning signs of stroke (5)

Answer 4

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

Question 5

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

Answer 5

TPA

Question 6

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

Answer 6

Anterior cerebral artery ACA stroke

Question 7

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

Answer 7

posterior cerebral artery PCA stroke

Question 8

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

Answer 8

middle cerebral artery MCA stroke

Question 9

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

Answer 9

Internal carotid artery stroke

Question 10

mix of ipsilateral and contralateral signs. Locked in syndrome

Answer 10

vertebral and basilar artery stroke

Question 11

L lesion characteristics

Answer 11

Use demonstration

Question 12

R lesion characteristics

Answer 12

Use vc

Question 13

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

Answer 13

somatosensation deficit

Question 14

visual field cut. MCA and PCA strokes

Answer 14

hemianopsia

Question 15

decreased balance, dizziness/vertigo

Answer 15

vestibular impairments

Question 16

constant burning, intermittent sharp pain. PCA lesion

Answer 16

thalamic sensory syndrome

Question 17

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

Answer 17

flaccidity

Question 18

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

Answer 18

weakness

Question 19

stereotyped, mass mvmt patterns. Create loss of isolated mvmts

Answer 19

synergies

Question 20

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

Answer 20

associated reactions

Question 21

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

Answer 21

UE

Question 22

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

Answer 22

LE

Question 23

which tx considerations exist if primitive reflexes return (2)

Answer 23

PNF patterns

Development sequence

Question 24

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

Answer 24

decreased coordination

Question 25

set of commands that result in a coordinated movement

Answer 25

motor program

Question 26

CVA associated w/ difficulty planning and initiating movements

Answer 26

Left CVA

Question 27

CVA associated w/ difficulty sustaining mvmts

Answer 27

Right CVA

Question 28

apraxia is more common in _____ lesions

Answer 28

left

Question 29

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

Answer 29

ideomotor apraxia

Question 30

movement not possible on command or automatically

Answer 30

ideational apraxia

Question 31

CVA gait deficits (3)

Answer 31

1. trendelenburg 2. scissoring 3. equinus

Question 32

speech flows smoothly but lacks comprehension

Answer 32

receptive aphasia (Wernicke's)

Question 33

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

Answer 33

expressive aphasia (Broca's)

Question 34

impairment of speech and comprehension

Answer 34

global aphasia

Question 35

2 things to keep in mind involving cognitive impairments

Answer 35

1. know level of consciousness | 2. use simple commands

Question 36

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

Answer 36

left lesion

Question 37

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

Answer 37

right lesion

Question 38

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

Answer 38

unilateral neglect

Question 39

pushes to affected side. Tends to extend and resist flexion

Answer 39

Pushers syndrome

Question 40

difficulty perceiving differences and relationships btwn objects in the environment

Answer 40

spatial relations deficits

Question 41

general CVA PT goals

Answer 41

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

Question 42

Brunnstrom's 6 stages of motor recovery (6)

Answer 42

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

Question 43

sensory stimulation for mm facilitation

Answer 43

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

Question 44

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

Answer 44

1. functional tasks | 2. transitional movements