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Npte > CVA/ Stroke > Flashcards

CVA/ Stroke Flashcards

Neuro

1
Q

What is Cerebral embolism

Ischemic

A

Traveling bits of matter (thrombi, tissue or fat, air, bacteria) that produce occlusion and infarction in the cerebral arteries

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1
Q

What is Cerebral Thrombosis

Ischemic

A

Formation or develpment of blood clot or thrombus within the cerebral arteries or their branches

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2
Q

What is a hemorrhagic stroke

A

Abnormal bleeding as a result of rupture of a blod vessel

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3
Q

What is a transient ischemic attack (TIA)

A

temporary period of symptoms resulting from decrease blood supply to the brain; No permanent damage

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4
Q

ACA stroke

A

Contralateral Hemiplegia LE>UE
Contralateral Hemisensory loss LE>UE
Urinary incontinence
Problems with bimanual task
Apraxia

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5
Q

MCA stroke

A

Contralaeral hemiplegia face, UE>LE
Contralateral hemisensory loss UE>LE
Homonymous hemianopsia
Motor speech involvement: fluent/non fluent global or conduction aphasia

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6
Q

PCA stroke

A

Contralateral sensory loss
Involuntary movements: choreothetosis, tremor, hemiballismus
Transient contralateral hemiparesis
Hemonymous hemianopsia
Other: Webers syndrom, visual agnosia

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7
Q

Stage 1

Stroke sequentual Recovery stage

1 is worse than 6

A

Initial flaccidity- no voluntary movement

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8
Q

Stage 2

Stroke sequentual Recovery stage

1 is worse than 6

A

Emerging spasticity
- hyperreflexia, synergy

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9
Q

Stage 3

Stroke sequentual Recovery stage

1 is worse than 6

A

Voluntary movement possible but ONLY in synergy
- Spasticity strong

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10
Q

Stage 4

Stroke sequentual Recovery stage

1 is worse than 6

A

Voluntary control in isolated joint movement EMERGING
-Decline in Spasticity and synergy

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11
Q

Stage 5

Stroke sequentual Recovery stage

1 is worse than 6

A

Increasing voluntary out of synergy
Coordination deficit

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12
Q

Stage6

Stroke sequentual Recovery stage

1 is worse than 6

A

Control and coordination near Normal

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13
Q

Left CVA

Behavior

A
  • Right Hemipligia
  • slow, cautious
  • hesitant and insecure
  • resulting in frustration
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14
Q

Right CVA

Behavior

A

-Left Hemiplegia
- impulsive, quick
- indifferent
- poor judgement of safety
- overestimating thier capability and underestimating the problem

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15
Q

Hip

Gait: Typical Deficits

A

-Poor hip position (retracted and FLXed)
-Tradelenburg limp (weak ABD)
-Scissoring (spastic ADD)
-Insufficient pelvic rotation

16
Q

Knee

Gait: Typical Deficits

A

-Weak knee EXTnsors (may lead to compensatory lokcing of the knee in hyperextension)
-Spastic Quads may also yealed a hyperextended knee

17
Q

Ankle

Gait: Typical Deficits

A

-Footdrop/ PF spasticity = euinus gait ( heel does not touch the ground)
- Varus foot= Weight is borne on lateral side of foot

18
Q

Fugul-Meyer Assessment of Motor Performance

CVA Outcomes

A

Subtest for UE/LE function
Test: balance, sensation, ROM and Pain
Scoring: 0= cant perform, 1= partially perform, 2= fully perform

19
Q

Functional Independence Measure (FIM)

CVA Outcomes

A

18 items
Captures: feeding, grooming, bathing, transfer, gait, stairs, cogitive, social interaction, expression, bowel and bladder

20
Q

Postural Assessment scale for stroke Pt

CVA Outcomes

A

12 items that measure postural control and balance in pt recovering from stroke
- Scoring: 0-3 with higher socres reflecting better postural control

21
Q

Trunk Impairment Scale

CVA Outcomes

A

Evaluates motor impairment of the trunk
- Static sitting, dynamic sitting, coordination
- Scoring: 0-23 with highter scores = increased trunk impairment

22
Q

Stroke Impact Scale

CVA Outcome

A

Self reporting measure
Measures: physical problems, memory, changes in mood, emotion, communcation.

23
Q

Aerobic conditioning

Interventions

A
  • Cycle ergometry
  • Treadmill
  • Walking
24
Q

Other

Intervention

A

-Isokinetic training: improvement timing deficits, volocity control of movement
- locomotor training: Body Weight Supported, motorized treadmill training
- Functional electrical stimulation (FES)- stimulate muscle action and reduce spasticity
- Constraint-induced movement therapy (CIMT)- must have wrist and finger movement

25
Q

Left CVA

Learning

A

-Communication base: Words, gesture
Assess level of understanding
Give frequent feedback and support
Do not underestimate learning ability

26
Q

Right CVA

Learning

A
  • Communication: use verbal cues
  • Give frequent feedback- focus on slowing and controlling movement
  • Focus on safety
  • Avoid environmental clutter

Npte (19 decks)

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