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Neuro 1 > CVA Interventions > Flashcards

CVA Interventions Flashcards

1
Q

what should you do when strength program is initiated

A

monitor BP, HR, RPE, RR and breathing patterns closely

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2
Q

indications for immediate cessation of exercise program

A
  • lightheadedness
  • dizziness
  • chest heaviness, pain or tightness; angina
  • heart palpitations or irregular heart beat
  • sudden SOB not due to increase activity
  • volitional fatigue and exhaustion
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3
Q

what exercises are beneficial for LE strengthening

A

closed chain

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4
Q

neuromuscular facilitation -

A
  • manual resistance
  • tapping
  • joint approximation
  • joint traction
  • quick stretch
  • aid in promoting required lead-up activities required for tasks
  • good for pt’s with more significant weakness
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5
Q

PNF aids in what -

A
  • aid in promoting required lead-up activities required for tasks
  • good for pt’s with more significant weakness
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6
Q

motor learning techniques relies heavily on what

A
  • actual practice, mental practice and feedback
  • best relearned when practice within context of the actual desired activity
  • pt should demonstrate some recovery of isloated movement
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7
Q

gross grasp

A

something that is in contact with your palm

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8
Q

prehension patterns

A
  • palmar grip

- lateral grip

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9
Q

what exercises are beneficial for UE strengthening

A
  • majority of ADLs are open but both are beneficial
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10
Q

constraint induced movement therapy (CIMT)

A

response to learned nonuse by instead promoting forced use of involved extremity

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11
Q

limitations of CIMT

A
  • patient compliance
  • staffing at therapy clinics
  • reimbursement
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12
Q

when should exercise begin after stroke

A

within 24 hrs of first onset of symptoms

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13
Q

acute endurance recommendations: goal

A

prevent deconditioning, orthostatic intolerance, depression

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14
Q

acute endurance recommendations

A
  • < 11-12 RPE (3-4 mRPE)
  • resting HR + 10-20 bpm
  • interval approach
  • mode: walking, ADLs, standing activities
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15
Q

IP rehab & outpatient endurance recommendations: goal

A
  • increased walking speed & efficiency
  • improve exercise tolerance
  • increase independence ADLs
  • reduce motor impairment
  • improve cognition
  • improve vascular health
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16
Q

IP rehab & outpatient endurance recommendations

A
  • 11-14 RPE (3-5/6 mRPE)
  • 40-70% VO2 reserve or HR reserve; 55-80% HRmax
  • 20-60 min/session, 3-5x week + adequate warm up/cool down
  • mode: large muscle activities
17
Q

management of painful and/or subluxed shoulder

A
  • strengthening high rep of RTC, deltoid and scapula
  • KT tape
  • NMES
  • slings
  • positioning
18
Q

what are shoulder slings used for

A

work to withstand gravity

19
Q

neoprene sleeve

A
  • comfortable
  • gentle compression
  • stretchy
  • not always best option
20
Q

alimed sling

A
  • hard shell

- adjusts how much pull on shoulder

21
Q

givmohr sling

A
  • cradles elbow and hand
  • better accounts for whole arm
  • takes hand fxn away
22
Q

shoulder saddle sling

A
  • risk for contracture

- no use of hand

23
Q

hypotonic, and what are the functional implications

A
  • floppy movements
  • injury risk
  • power movements are impaired
  • resist gravity
  • increased stress on joint
  • balance impaired
  • fatigue
  • lack of postural control
  • clumsy, incoordinated movements
24
Q

what are the functional implications of stroke

A
  • contractures
  • skin breakdown
  • pain
  • abnormal posture
  • abnormal movement patterns
  • impaired balance
25
Q

what is the main management of spasticity

A

medication: baclofen

26
Q

side effects of baclofen

A

decreased muscle strength and lethargy

27
Q

when is med appropriate for spasticity pt’s?

A
  • spasticity is interfering with fxn
  • clonus present –> skin breakdown
  • pain
28
Q

what are you monitoring with tone present

A
  • clonus
  • impact on functional tasks
  • evidence of contractures
29
Q

what are you managing with tone present

A
  • stretching program –> joint mobs
  • positioning of limbs to avoid shortening positions of spastic muscles
  • e-stim can be used for short term effects

Neuro 1 (21 decks)

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