L vs R hemi Flashcards

1
Q

Right Hemi - LCVA

A
Good concentration
Slow movement time
Good performance
Good carryover effect
Realistic attitude
mood: Liable, depressed, anxious
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2
Q

Right Hemi - LCVA 2

A

speech: Dysarthria,
aphasia,
dyscalculia,
dyslexia,
dysgraphia
receptive speech/understanding - ability to understand info: poor
other: Perseveration (motor and speech - repetition of a particular repsonse)

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3
Q

Left Hemi - 2

A

speech: Dysarthria or fine
receptive speech/understanding: Good - Lack insight to their condition
sensory: Poor JPS, Extinction to L side
Asterognosis (can’t recognise object with touch)
Autopagnosis (difficulty orientating part of body)
Unilateral neglect
Inattention/extinction
other: Agnosis ,Body image deficits, Motor impersistence - inability to sustain simple acts eg keep eyes closed or tongue out

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4
Q

Left Hemi - RCVA 1

A
Poor concentration
Fast, impulsive movement
Unpredictable, erratic speed
Poor carryover effect
Unrealistic attitude
Liable, unmotivated
apraxia: Constructional, dressing
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5
Q
Apraxia Notes (LCVA)
- Ideomotor
A
  • Unable to perform on external command, but able to perform automatically
  • Provide an object with meaning
  • Train task as a whole
  • Encourage spontaneous movement, use real life events, purposeful requests
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6
Q
Apraxia Notes (LCVA)
- Ideational
A

Unable to complete task on command or automatically

  • Doesn’t improve with object
  • Break down task and use gestures
  • Lead through sequence and copy other limb (upper limb in particular)
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7
Q

Electrical stimulation

A

• FES improves gait speed
• Improves subluxation
a. 70Hz
b. 1.5-6hrs, daily for 6 weeks
- Limited evidence for UL function return,dexterity
- Does increase strength of WEAK/smaller muscles
- RECOMMENDED TO USE WITH PROGRESSIVE RESISTANCE TRAINING

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8
Q

Resistance Strength Training

A
  • Strength training does not increase spasticity or reduce ROM
  • Progressive – no friction (bedex, slide boatds, skateboards) -> increase friction
  • Strength training must be functional/task orientated, strength training alone does not improve function
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9
Q

UL neglect

A

UNILATERAL NEGLECT (UN)
Definition:
The failure to report, respond or orient
To novel or meaningful stimuli
Presented to the side opposite a brain lesion
When this failure cannot be attributed to either sensory or motor Impairments
• LEFT NEGLECT FOLLOWING RIGHT CVA IS MOST COMMON (17 – 80% FOLLOWING)
• Can also be non-lateralised impairments of attention.
• Increased neglect with longer length os stay and poorer functional outcomes post stroke

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10
Q

neg hemis

A

RIGHT VS LEFT HEMI:
RIGHT HEMI LESION: Attention to both hemispheres. Attention is directed primarily to the right hemispace and hence neglect of the left hemispace.
LEFT HEMI LESION: Attention to right hemisphere. Doesn’t usual result in UN. Intact right hemisphere can direct attention to both hemispheres.

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11
Q

Types of Negelct

Sensory

A
  • decreased awareness of sensory stimulation in the contralesional hemispace
  • despite intact primary sensory cortical area and sensory pathways
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12
Q

Types of Negelct

Action Orientated Disorder (motor neglect)

A
  • decreased ability to move in contralesional hemispace
  • still aware of stimulus in that space so not a deficit of the motor pathway
    eg. Eg balling coming at face, can see it but can catch it and get hit
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13
Q

Types of Negelct

Memory and representational deficits (spatial)

A
  • disorder of memory and extrapersonal space

eg. Forget topographically where we are - eg where to go

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