CVA Evaluation And Treatment Flashcards

1
Q

What is an ischemic stroke and what percent of cases does it occur?

A

Blood clot stops blood flow in brain; 87%

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2
Q

What is a cerebral thrombosis

A

Thrombus(blood clot) that develops T the clogged area of the vessel

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3
Q

What is a cerebral embolism

A

Blood clot that forms at another location in the circulatory system– typically the heart or large arteries of upper chest/neck

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4
Q

What is a hemorrhagic stroke and what percent of cases does account for

A

Ruptured blood vessel in the brain; 13%

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5
Q

What is an aneurysm

A

Ballooning of weakened region of blood vessels

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6
Q

What is an arteriovenous malformation

A

Cluster of abnormally formed blood vessels

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7
Q

What is a transient ischemic attach stroke

A

Caused by a clot; the difference is this is temporary

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8
Q

What evAl would you use for ADLS

A

COPM, FIM

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9
Q

What eval would you use for visual perceptual

A

Motor free visual perceptual test

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10
Q

What eval would you use for cognition

A

MMSE, MOCA, orientation questions

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11
Q

What eval would you use for fine motor control

A

Nine hole peg test

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12
Q

What eval would you use for sensation

A

Semmes Weinstein 2 point discrimination, stereognosis

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13
Q

What eval would you use for stroke recovery

A

Fugl-Meyer

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14
Q

What eval would you use for muscle tone

A

Modified ash worth

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15
Q

When does the largest percentage of motor and functional recovery occur for stroke

A

First month

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16
Q

What influences a therapists selection of assessments and interventions

A

Stage of recovery, setting of treatment, extent of impairment

17
Q

What is global aphasia

A

Loss of all language skills

18
Q

What is brocas aphasia

A

Speech apraxia, slow labored speech with many errors BUT able to comprehend others speech

19
Q

What is wernicke’s

A

Impaired understanding and feedback; reading, writing, and math skills impaired. Meaningless sequence of words

20
Q

What is anomie aphasia

A

Word retrieval or finding problems

21
Q

What is dysarthria

A

Articulation disorder, CNS in origin, speech is thick and slurred

22
Q

What are inhibitory methods for spasticity

A
Prolonged stretch
Air splints 
Elastic bandages
TENS
Deep tendon pressure 
Weight bearing less than bw
Vestibular stim
Splinting and casting 
Superficial heat
23
Q

What procedure is used for spasticity with CP

A

Selective dorsal rhizotomy

24
Q

What motion come back in the hand first

A

Flexion

25
Q

What is the gold standard for edema measurement

A

Volumeter

26
Q

How do you treat edema

A
Elevation
Compression 
Gentle massage 
Pneumatic compression 
JOBST
27
Q

What conditions contraindicate use of pneumatic pumps/air splints

A
Dvt
Chf
Phlebitis
Anticoagulants
Renal failure