CVA Interventions Flashcards

1
Q

List the core standarized tasks that should be included in a task analysis

A
  1. Sitting
  2. Standing
  3. STS
  4. Walking
  5. Step Up/Down
  6. Reach, Grasp, Manipulation
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2
Q

List the indications for immediate cessation of exercise program for CVA pts

A
  1. Lightheadedness
  2. Dizziness
  3. Chest heaviness, pain or tightness; angina
  4. Heart palpitations or irregular heart beat
  5. Sudden SOB not due to increased activity
  6. Volitional fatigue and exhaustion
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3
Q

List 4 required lead up skills necessary for most ADLs

A
  1. Trunk postural stability
  2. Shoulder stability and mobility
  3. Elbow stability and mobility
  4. Wrist stability and mobility
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4
Q

T/F: we can improve tone abnormalities through PT?

A

FALSE

we can monitor and manage

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5
Q

What did the AVERT study determine with regards to exercise post stroke?

A

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

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6
Q

List the endurance recommendations for the Acute Care setting

A
  1. Goal → prevent deconditioning, OH, depression
  2. <11-12 RPE (3-4 mRPE)
  3. Resting HR +10-20bpm
  4. Duration and frequency as tolerated
    • interval approach
  5. Mode → walking, ADLs, standing activities
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7
Q

List the endurance recommendations for IP Rehab and OP

A
  1. Goal:
    • increased walking speed and efficiency
    • improve exercise tolerance
    • increased indpendence w/ADLs
    • reduce motor impairments
    • improve cognition
    • improve vascular health
  2. RPE 11-14 (mRPE 3-5/6)
  3. 40-70% VO2 reserve or HR reserve
  4. 55-80% HRmax
  5. 20-60 min/session, 3-5x/week
    • +adequate warm-up and cool down
  6. Mode → large-muscle activities
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8
Q

List various ways we can manage a hemiplegic subluxed shoulder

A
  1. Strengthening
  2. Kinesio-tape
  3. NMES
  4. Slings
  5. Positioning
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9
Q

List commonly used shoulder slings for hemiplegic subluxed shoulders

A
  1. Neoprene sling
  2. AliMed sling
  3. GivMohr sling
  4. Shoulder saddle sling
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10
Q

List various somatosensory intervention techniques

A
  1. Sensory retraining programs
    • mirror therapy
    • repetitive sensory discrimination
    • bilateral simultaneous movements
    • repetitive task practice
  2. Sensory stimulation approaches
    • compression techniques
    • mobilizations
    • E-stim
    • thermal stimulation
    • magnetic stimulation
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11
Q

Long-term goals are typically based on expected length of PT service. List off the various CVA typical time frames per setting

A
  1. Acute care → 1-2 weeks
  2. IP acute rehab → 3-4 weeks
  3. IP subacute rehab → 4+ weeks
  4. OP → highly variable, usually <6-12 months
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