CVA Labs Flashcards

1
Q

6 core tasks for task analysis

A

Sitting
Sit to Stand
Standing
Walking
Steps
Reach/manipulate

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2
Q

Sensory Retaining techniques include:

A
  • Mirror therapy
  • Bilateral simultaneous movements
    -Repetitive sensory discrimination activities
    -Repetitive task practice.
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3
Q

Mirror therapy:
-What is it?
-What does anatomy does it target?

A
  • visual imagery targeting proprioception
  • PREMOTOR cortex (MIRROR NEURONS)
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4
Q

What is the theory behind bilateral arm training?

A

activates intact hemisphere to facilitate activation of the damaged hemisphere via CORPUS CALLOSUM

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5
Q

Repetitive sensory discrimination targets what anatomy?

A

somatosensory association cortex

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6
Q

What are potential interventions for inattention?

A
  • functional training + cognitive rehabilitation
  • Mental imagery
  • Prism glasses/eye patching
  • Virtual Reality
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7
Q

The lighthouse strategy for inattention uses three different methods:

A
  • Anchors
  • Guides
  • Turns
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8
Q

Anchors

A

using target to visually seek on neglected side

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9
Q

Guides

A

using body or finger to direct eyes toward neglected side

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10
Q

Turns

A

turning eyes and head towards neglected side

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11
Q

Mental Imagery

A

a technique that is convenient, cost effective and safe for neglect, but has limited evidence.

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12
Q

What are therapy options for dysconjugate gaze?

A

AROM activities
Brock string
Eye patch

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13
Q

The goals for choosing strength/endurance exercises:

A

combo of resistance training with task-oriented functional activities

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14
Q

Indications for immediate cessation of exercise program

A

-lightheadedness
-dizziness
-chest-heaviness, pain, or tightness, angina
- Heart palpitations, irregular heart beat
- Sudden SOB not due to increased activity
-Volitional fatigue and exhaustion

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15
Q

Management of a sublimed shoulder includes:

A
  • strengthening
  • KT taping
  • NMES
  • Slings
  • Pt positioning
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16
Q

Primary intervention for spasticity

A

baclofen

17
Q

Mechanisms of neuromuscular facilitation

A
  • tapping
    -joint approximation
  • joint traction
  • quick stretch
  • manual resistance
18
Q

ROM Inclusion criteria for constraint-induced movement therapy

A

10º wrist extension
10º active thumb abduction
10º active extension of any other two digits

19
Q

Apraxia training includes

A
  • strategy training (compensation) with internal strategies
  • External Strategies, signage, mirror therapist cues, sensory stimulation, etc.
20
Q

Your patient is only able to sit EOB, what outcome measures could be used?

A

FIST
TIS

21
Q

A patient can sit and stand - what outcome measures could be used?

A

Fugl-Meyer
PASS

22
Q

Your patient is ambulatory and can negotiate stairs what outcome measure can you use with them?

A

Orpington Prognostic Scale (ambulation)
STREAM (both)

23
Q

Major prognostic considerations for CVA

A
  • Time to medical intervention
  • Type of medical intervention/complications
  • Initial NIHSS score
  • Age
  • Education level /SES
  • PLOF
  • Ambulatory on eval at IP rehab (ANY degree)
24
Q

Prognostic considerations between hemorrhagic and ischemic strokes

A

Hemorrhagic: higher mortality rates acutely, but better prognosis for neuro-recovery long-term
Ischemic: lower mortality rate, but then to demonstrate slower and less recovery

25
Q

Most-Least disability of functional outcomes by vascular territory

A
  • Multiple vascular territories
  • MCA
  • ACA
  • PCA
  • B/s
  • Small vessel stroke
  • Cerebellar
26
Q

Prognostic Considerations of UE

A

Shoulder Abduction, Finger Extension (SAFE) = 98% probability of achieving some dexterity at 6 months

27
Q

What is the PREP2 algorithm?

A

predicts UE motor recovery based on SAFE, age, and neuro diagnostic testing

28
Q

Positive prognostic indicators for return to ambulation

A
  • *ambulation on eval (IRF)
  • balance scores on eval (IRF), Berg Balance Scale Considerations (29/56) - community level ambulation
    -
    Min loss of LE strength + somatosensory function
    -Min to no evidence of perceptual visual +/- cognitive deficits
  • Healthy BMI
  • Younger age (<65)
29
Q
A