Lab 10 - Stroke Assessment

Question 1

What stage do you always start a stroke assessment at for the arm

Answer 1

Stage 3

Question 2

What stage do you always start a stroke assessment at for the leg

Answer 2

Stage 4

Question 3

Stage 1

Answer 3

Flaccid paralysis and active movement cannot be elicited reflexly with facilitator stimulus

Question 4

Stage 2

Answer 4

Spasticity is present due to resistance to passive movement, no voluntary movement is present a stimulus can elicit limb synergies reflexly (flexion synergy dominates arm, and extension synergy dominates leg)

Question 5

Stage 3

Answer 5

Spasticity is marked and synergistic movement can be elicited voluntary, but are obligatory (flexion synergy dominates arm, and extension synergy dominates leg)

Question 6

Stage 4

Answer 6

Spasticity decreases and synergy patterns can be reversed if movement takes place in the weaker synergy first. Movements combining antagonistic synergies can be performed if prime movers are strong parts of synergies.

Question 7

Stage 5

Answer 7

Spasticity wanes but is evident with rapid movement and extreme range. Synergy movements can be reversed. Movements become environmentally specific and weak components of synergies start to be performed.

Question 8

Stage 6

Answer 8

Coordination and pattern of movements are near normal and spasticity is no longer present. Environmental patterns are now possible, but abnormal movements emerge when rapid or complex movements are performed.

Question 9

Stage 7

Answer 9

Normal

Question 10

how many attempts do you get per task

Answer 10

2

Question 11

What is the standard starting position for the arm assessment

Answer 11

Sitting with forearm in lap or supported on pillow in lap in neutral position, 0 degrees at wrist and fingers slightly flexed. Sitting unsupported over side of bed or supported in chair/wheel chair. Feet supported and good posture.

Question 12

Tasks for stage 1 (arm)

Answer 12

There are none, they are only in this category if they cannot demonstrate at least two of the stage 2 tasks

Question 13

What are the 3 tasks for stage 2 (arm)
-Position
-Instruction
-Required
-Not accepted

Answer 13

Question 14

What are the 3 tasks for stage 3 (arm)
-Position
-Instruction
-Required
-Not accepted

Answer 14

Question 15

What are the 3 tasks for stage 4 (arm)
-Position
-Instruction
-Required
-Not accepted

Answer 15

Question 16

What are the 3 tasks for stage 5 (arm)
-Position
-Instruction
-Required
-Not accepted

Answer 16

Question 17

What are the 3 tasks of stage 6 (arm)
-Position
-Instruction
-Required
-Not accepted

Answer 17

Question 18

What are the 3 tasks of stage 7 (arm)
-Position
-Instruction
-Required
-Not accepted

Answer 18

Question 19

Score sheet for arm assessment

Answer 19

Question 20

Standard starting position for leg assessment

Answer 20

Lying on back with knees bent and feet flat, with hands resting on stomach, shoes and socks off, and pants rolled up

Question 21

Stage 1 tasks (leg)

Answer 21

No tasks, just unable to identify at least 2 of stage 2’s tasks

Question 22

What are the 3 tasks of stage 2 (leg)
-Position
-Instruction
-Required
-Not accepted

Answer 22

Question 23

What are the 3 tasks of stage 3 (leg)
-Position
-Instruction
-Required
-Not accepted

Answer 23

Question 24

What are the 3 tasks of stage 4 (leg)
-Position
-Instruction
-Required
-Not accepted

Answer 24

Question 25

What are the 3 tasks of stage 5 (leg)
-Position
-Instruction
-Required
-Not accepted

Answer 25

Question 26

What are the 3 tasks of stage 6 (leg)
-Position
-Instruction
-Required
-Not accepted

Answer 26

Question 27

What are the 3 tasks of stage 7 (leg)
-Position
-Instruction
-Required
-Not accepted

Answer 27

Question 28

Scoresheet for leg assessment

Answer 28