CVA impairments pt. 1 Flashcards
1
Q
stage 1 of motor recovery
A
- period of flaccidity immediately following the acute episode
- no movement of the limbs can be elicited
2
Q
stage 2 motor recovery
A
- basic limb synergies
- minimal voluntary movement responses
- spasticity develops
3
Q
stage 3 motor recovery
A
- pt gains voluntary control of the movement synergies
- full range of all synergy components does not develop
- spasticity has further increased
4
Q
stage 4 motor recovery
A
- some movement combinations that do not follow the paths of either synergy are mastered
- spasticity declines
5
Q
stage 5 motor recovery
A
- more difficult movement combos are learned as synergies lose their dominance
6
Q
stage 6 motor recovery
A
- disappearance of spasticity
- individual joint movements and coordination approaches normal
- normal motor fxn restored
- recovery can plateau at any stage
7
Q
what plays a significant role in a pt’s progression through the stages of motor recovery
A
- initial weakness
- presence of spasticity
- cognitive deficits
- access to rehab
8
Q
what is recommended before beginning exercise program post-CVA
A
- graded exercise testing
- ECG monitoring
- MI protocol
9
Q
what is the MI protocol for exercise
A
- sub-max protocols
- peak HR 120 bpm or 70% age predicted HRmax
- BP <250/115
10
Q
if unable to do graded exercise testing:
A
- light to moderate exercise
- increase training fq, duration or both to compensate for reduced intensity
- close monitoring of HR, BP
11
Q
dysdiadochokinesia
A
impaired ability to perform rapid alternating movements
12
Q
dysmetria
A
inability to judge distance or range of movement
13
Q
dysynergia
A
- fragmented movement patterns
- movement occur in sequence of component parts rather than a single & coordinated cmooth output
14
Q
asynergia
A
- loss of ability to associate muscles together for complex movements
- more severe form dyssynergia
15
Q
rebound phenomenon
A
inability to rapidly and sufficiently halt movement of a body part after a strong isometric force
