CVA/Stroke Additional Terminology and PNF patterns

Question 1

What is the difference between Homonymous Hemianopia vs Hemineglect?

Answer 1

Homonymous Hemianopia: Visual Field Loss
Hemi-Neglect: Perceptual problem with attending to one side (often seen in R-sided CVA)

Question 2

What is Spatial-Perceptual Dysfunction?

Answer 2

Incorrect perception of self & illness;deficits
Incorrect perception of self in space (neglecting input from affected side.)

(Lacking Insight)

Question 3

What is agnosia?

Answer 3

Inability recognize familiar objects

Question 4

What is Apraxia?

Answer 4

Inability to carry out learned voluntary commands

Question 5

Is global aphasia characterized as a fluent or non-fluent aphasia?

Answer 5

Non-Fluent

Question 6

How can we modify our communication style with a patient with Wernicke’s Aphasia?

Answer 6

Utilize cards or pictures, secondary to language comprehension disorder.

Question 7

Will patients with LEFT CVA be more cautious or more impulsive?

Answer 7

Cautious

Question 8

Which stage of Brunnstrom Stages of recovery where we can be more “aggressive” with therapy?

Answer 8

Stage 4, due to the decrease in tone

Question 9

What stage of Brunnstrom’s Stage of Recovery has the highest peak in tone/spasticity?

Answer 9

Stage 3

Question 10

What is pusher syndrome? where should we place ourselves or the patient?

Answer 10

Pushing towards their affected side.

Have PT sit on good side or have wall on patients good side to allow them to try leaning towards us or the wall.

Question 11

What is the UE D1 Flexion/Extension Pattern?

Answer 11

Reaching for an Arrow

D1 Flexion: FAdER

• Flexion
• Adduction
• External Rotation

D1 Extension: EABIR

• Extension
• Abduction
• Internal Rotation

Question 12

What is the UE D2 Flexion/Extension Pattern?

Answer 12

Taking out a Sword

D2 Flexion: FABER

• Flexion
• Abduction
• External Rotation

D2 Extension: EADIR

• Extension
• Adduction
• Internal Rotation

Question 13

What is the LE D1 Flexion/Extension Pattern?

Answer 13

D1 Flexion: FAdER

• Flexion
• Adduction
• External Rotation

D1 Extension: EABIR; The Stanky Leg

• Extension
• Abduction
• Internal Rotation

Question 14

What is the LE D2 Flexion/Extension Pattern?

Answer 14

D2 Flexion: FABIR; riding a motorcycle

• Flexion
• Abduction
• Internal Rotation

D2 Extension: EAdER

• Extension
• Adduction
• External Rotation