CVA syndromes

Question 1

What are the 3 classic CVA syndromes?

Answer 1

1. neglect
2. pusher
3. apraxia

Question 2

With neglect, what side is usually affected? (what side is considered the hemiplegic side)

Answer 2

1. dense L hemiplegia
2. flaccidity on L
3. absent sensation on L

Question 3

What side of the brain is usually affected?

Answer 3

R hemisphere

Question 4

Due to poor trunk control that patients with neglect experience, what position do they assume?

Answer 4

flexion and posterior pelvic tilt

Question 5

What eye condition does neglect cause?

Answer 5

homonymous hemianopsia on the L

Question 6

What is homonymous hemianopsia?

Answer 6

visual field loss on the left or right side of vertical midline

Question 7

What is the perceptual deficit that patients with neglect have?

Answer 7

lack of acknowledgement of the L side of the world

Question 8

What side does a pusher “push to?

Answer 8

side of the paresis… use the strong side to push towards the weak side

Question 9

Do pushers have hemiparesis?

Answer 9

Yes, it is usually mild to moderate

Question 10

Do pushers have an accurate perception of midline?

Answer 10

No

Question 11

Do pushers have intact sensation on involved side?

Answer 11

sensation is impaired to intact

Question 12

Do pushers have safety awareness?

Answer 12

No, they have impaired judgement/ safety awareness

Question 13

What kind of tone do pushers present with?

Answer 13

normal tone to mild/moderate hypertonicity

Question 14

What is apraxia?

Answer 14

inability to execute learned purposeful movements, despite having the desire and the physical capacity to perform the movements

Question 15

Apraxia is a disorder of?

Answer 15

motor planning

Question 16

Patients with apraxia have __________ levels of sensory and motor loss

Answer 16

varying

Question 17

Patients with apraxia have ________ levels of tone dysfunction.

Answer 17

varying

Question 18

Are functional activities consistent with motor evaluation?

Answer 18

NO

Question 19

What is Dr. Barlow’s definition of apraxia?

Answer 19

disorder of voluntary learned movement that is characterized by an inability to perform purposeful movements, which cannot be accounted for by inadequate strength, loss of coordination, impaired sensation, attentional difficulties, abnormal tone, movement disorders, intellectual deterioration, poor comprehension. or uncooperativeness.