Hemiparesis Flashcards
(53 cards)
which sided cortical stroke leads to dysarthria?
R
which sided cortical stroke leads to dysphagia?
L
what does the stroke screen BE FAST stand for?
Balance (LOB)
Eyes (vision changes)
Face (asymmetries)
Arm (symmetrical raise arm or feel)
Speech (dysarthria)
Time (fast transport to ER)
there is a ____ hour window form when the person has a stroke to administration of tPA
3 hour
what are the major sequellae of stroke?
motor impairments
sensory impairments
visual/perceptual impairments
cognitive/communicative impairments
the basis of movement is provided by
normal postural tone
(hold upright against gravity but not inhibit selective movements)
what movement pattern provides a basis for the movement patterns that progressively show more selective coordination and less stereotyping with time and maturation?
primitive movement paterns
purpose of righting reactions
provide orientation of head
alignment of body part to each other
development of trunk rotation
as the location of the CoG within the BoS changes, what movement patterns are in play?
protective extension reactions
i.e. parachute reaction (UE) and protective stepping (LE)
what movement pattern consists of the ankle, hip, step, and reach reactions?
equilibrium reactions
which movement patterns allow us to maintain our balance by adjusting the location of the CoG within the BoS whether by posturally fixating with strong cocontraction of mm or by making adjustment of trunk and limbs?
equilibrium reactions
what is the hierarchy of movement patterns?
- postural tone
- primitive reflexes
- righting reactions
- protective reflexes
- equilibrium reactions
what are atypical synergies?
loss of selective movement patterns;
predictable movement patterns occurring during volitional movement attempts or associated reactions
what 2 factors can atypical synergies be attributed to?
- altered biomechanical alignment d/t abnormal tone
- neurological disorganization of recruiting motor neurons
which action is included in both UE synergies?
finger flexion
what actions comprise the UE flexion synergy?
scapular elevation
scapular retraction*
shoulder abduction
shoulder ER
elbow flexion*
forearm supination
wrist flexion
finger flexion*
what actions comprise the UE extension synergy?
scapular depression*
scapular protraction
shoulder extension*
shoulder adduction*
shoulder IR*
elbow extension
forearm pronation*
wrist extension
finger flexion
what is the strongest component for UE resting synergy at the scapula?
depression and retraction
what is the strongest component for UE resting synergy at the shoulder?
extension
adduction
IR
what is the strongest component for UE resting synergy at the elbow?
flexion
what is the strongest component for UE resting synergy at the forearm?
pronation
what is the strongest component for UE resting synergy at the wrist/hand?
flexion
what actions comprise the LE flexion synergy?
pelvic elevation*
pelvic retraction*
hip flexion*
hip abduction
hip ER
knee flexion
ankle DF
foot inversion*
which motion is in both LE synergies?
foot inversion
