CVA impairments pt. 2: somatosensation

Question 1

hypoesthesia

Answer 1

decreased sensitivity to sensory stimuli

Question 2

hyperesthesia

Answer 2

increased sensitivity to sensory stimuli

Question 3

paresthesia

Answer 3

abnormal sensation such as numbness, prickling or tingling

Question 4

dysesthesia

Answer 4

touch sensation experienced as pain

Question 5

allodynia

Answer 5

pain produced by non-noxious stimulus

Question 6

analgeisa

Answer 6

complete loss of pain sensitivity

Question 7

hyperalgesia

Answer 7

increased sensitivity to pain

Question 8

atopognosia

Answer 8

inability to localize sensation

Question 9

what is the greatest risk factor for falls among the elderly

Answer 9

post CVA

Question 10

2 outcome measures for evaluating fatigue post CVA

Answer 10

• fatigue severity scale

- fatigue impact scale

Question 11

neuropathic pain

Answer 11

• severe, bruning like pain
• typically in more of a gross manner
• exaggerated, prolonged or painful response
• intermittent or persistent
• may have triggers

Question 12

orthopedic pain - most common site of musculoskeletal pain?

Answer 12

shoulder

Question 13

causes of orthopedic pain

Answer 13

• weakness in RTC
• impaired motor control leads to inappropriate muscle activation
• chronic muscle shortening
• acute hypotonicity
• spasticity
• positioning: gravity on UE

Question 14

severe UE hemiplegia and/or shoulder subluxation within 72 hours post CVA =

Answer 14

higher risk of developing shoulder pain within first 8-10 weeks of CVA

Question 15

examination for shoulder subluxations

Answer 15

• fingerbreadth method
• radiographs
• ultrasound

Question 16

grading for GH subluxation: 0

Answer 16

no subluxation

Question 17

grading for GH subluxation: 1

Answer 17

1/2 fingerbreadth gap

Question 18

grading for GH subluxation: 2

Answer 18

1 fingerbreadth gap

Question 19

grading for GH subluxation: 3

Answer 19

1 1/2 fingerbreadth gap

Question 20

grading for GH subluxation: 4

Answer 20

2 fingerbreadth gap

Question 21

grading for GH subluxation: 5

Answer 21

greater than or equal to 2 1/2 fingerbreadth gap

Question 22

additonal cause of pain post CVA ..

Answer 22

complex regional pain syndrome

“shoulder-hand” syndrome

Question 23

shoulder hand syndrome

Answer 23

• painful shoulder and hand, spares elbow

- R CVA > L CVA