CVA Interventions Flashcards
List the core standarized tasks that should be included in a task analysis
- Sitting
- Standing
- STS
- Walking
- Step Up/Down
- Reach, Grasp, Manipulation
List the indications for immediate cessation of exercise program for CVA pts
- Lightheadedness
- Dizziness
- Chest heaviness, pain or tightness; angina
- Heart palpitations or irregular heart beat
- Sudden SOB not due to increased activity
- Volitional fatigue and exhaustion
List 4 required lead up skills necessary for most ADLs
- Trunk postural stability
- Shoulder stability and mobility
- Elbow stability and mobility
- Wrist stability and mobility
T/F: we can improve tone abnormalities through PT?
FALSE
we can monitor and manage
What did the AVERT study determine with regards to exercise post stroke?
early mobilization not found to have additional AE compared to standard care group
EOB/upright activities, including standing and walking, at frequent intervals within 24-hrs stroke onset improves functional outcomes and is safe
List the endurance recommendations for the Acute Care setting
- Goal → prevent deconditioning, OH, depression
- <11-12 RPE (3-4 mRPE)
- Resting HR +10-20bpm
- Duration and frequency as tolerated
- interval approach
- Mode → walking, ADLs, standing activities
List the endurance recommendations for IP Rehab and OP
- Goal:
- increased walking speed and efficiency
- improve exercise tolerance
- increased indpendence w/ADLs
- reduce motor impairments
- improve cognition
- improve vascular health
- RPE 11-14 (mRPE 3-5/6)
- 40-70% VO2 reserve or HR reserve
- 55-80% HRmax
- 20-60 min/session, 3-5x/week
- +adequate warm-up and cool down
- Mode → large-muscle activities
List various ways we can manage a hemiplegic subluxed shoulder
- Strengthening
- Kinesio-tape
- NMES
- Slings
- Positioning
List commonly used shoulder slings for hemiplegic subluxed shoulders
- Neoprene sling
- AliMed sling
- GivMohr sling
- Shoulder saddle sling
List various somatosensory intervention techniques
- Sensory retraining programs
- mirror therapy
- repetitive sensory discrimination
- bilateral simultaneous movements
- repetitive task practice
- Sensory stimulation approaches
- compression techniques
- mobilizations
- E-stim
- thermal stimulation
- magnetic stimulation
Long-term goals are typically based on expected length of PT service. List off the various CVA typical time frames per setting
- Acute care → 1-2 weeks
- IP acute rehab → 3-4 weeks
- IP subacute rehab → 4+ weeks
- OP → highly variable, usually <6-12 months