CVA Evaluation And Treatment Flashcards
What is an ischemic stroke and what percent of cases does it occur?
Blood clot stops blood flow in brain; 87%
What is a cerebral thrombosis
Thrombus(blood clot) that develops T the clogged area of the vessel
What is a cerebral embolism
Blood clot that forms at another location in the circulatory system– typically the heart or large arteries of upper chest/neck
What is a hemorrhagic stroke and what percent of cases does account for
Ruptured blood vessel in the brain; 13%
What is an aneurysm
Ballooning of weakened region of blood vessels
What is an arteriovenous malformation
Cluster of abnormally formed blood vessels
What is a transient ischemic attach stroke
Caused by a clot; the difference is this is temporary
What evAl would you use for ADLS
COPM, FIM
What eval would you use for visual perceptual
Motor free visual perceptual test
What eval would you use for cognition
MMSE, MOCA, orientation questions
What eval would you use for fine motor control
Nine hole peg test
What eval would you use for sensation
Semmes Weinstein 2 point discrimination, stereognosis
What eval would you use for stroke recovery
Fugl-Meyer
What eval would you use for muscle tone
Modified ash worth
When does the largest percentage of motor and functional recovery occur for stroke
First month
What influences a therapists selection of assessments and interventions
Stage of recovery, setting of treatment, extent of impairment
What is global aphasia
Loss of all language skills
What is brocas aphasia
Speech apraxia, slow labored speech with many errors BUT able to comprehend others speech
What is wernicke’s
Impaired understanding and feedback; reading, writing, and math skills impaired. Meaningless sequence of words
What is anomie aphasia
Word retrieval or finding problems
What is dysarthria
Articulation disorder, CNS in origin, speech is thick and slurred
What are inhibitory methods for spasticity
Prolonged stretch Air splints Elastic bandages TENS Deep tendon pressure Weight bearing less than bw Vestibular stim Splinting and casting Superficial heat
What procedure is used for spasticity with CP
Selective dorsal rhizotomy
What motion come back in the hand first
Flexion
What is the gold standard for edema measurement
Volumeter
How do you treat edema
Elevation Compression Gentle massage Pneumatic compression JOBST
What conditions contraindicate use of pneumatic pumps/air splints
Dvt Chf Phlebitis Anticoagulants Renal failure
