Hemiplegia

Question 1

Definition

Answer 1

Non-progressive condition of paralysis on one side of body as a result from a CNS lesion

Question 2

Where does it occur and why

Answer 2

Occurs on opposite side of lesion
- do to the crossover of nerves at the pyramidal tracts in medulla obglongata

Question 3

Transient ischemia attack (TIA)

Answer 3

If lasts for less then 24hrs

Question 4

Causes

Answer 4

●Cerebrovascular pathology
●Head trauma
●Brain trauma

Question 5

Most common causes of stroke leading to hemiplegia

Answer 5

●Thrombotic stroke- 66%
●Embolism- 5-14%
●Hemorrhage- 14-20%

Question 6

Commonly affected areas

Answer 6

●Internal capsul
-can result in motor Dysfunction
Vestibular system
-can cause HT in antigravity mms (mms that hold is up right)

Question 7

Commonly affected areas

Answer 7

●Internal capsul
-can result in motor Dysfunction
●Vestibular system
-can cause HT in antigravity mms (mms that hold is up right)

Question 8

Circumducted gait

Answer 8

Swing affected leg forward to clear the floor

Question 9

Hemiplegic shoulders

Answer 9

Adduction + internal rotation of shoulder with retraction of Scapula
- results in Inferior subluxation

Question 10

Neglect of affected side

Answer 10

Disassocite with affected limb, deny ownership

Question 11

Cognitive impairment

Answer 11

Difficulty with language comprehension + memory

Question 12

Apraxia

Answer 12

Inability to properly organize attempts at movement

Question 13

Contraindications

Answer 13

●Result of cerebral vascular accident (CVA), make modifications to tx + hydro as hypertension protocols
●Special care when treating SCM
●artherosclerosis present- no deep pressure
●Do not place head in extension + rotation