Lobes, Stroke, R v L Brain Flashcards
1
Q
Frontal lobe is supplied by…
A
ACA
2
Q
Parietal lobe is supplied by…
A
ACA and MCA
3
Q
Temporal lobe is supplied by…
A
MCA
4
Q
Occipital lobe is supplied by…
A
PCA
5
Q
Frontal Lobe Functions
A
- Judgement
- Personality
- Motor planning
- Emotions
- Reasoning
6
Q
Parietal Lobe Functions
A
- Pain
- Touch
- Temp
- Pressure
7
Q
Temporal Lobe Functions
A
- Language / speech
- Hearing / comprehension
- Emotion
- Visual-spatial orientation (understanding where you or an object is in space)
- Conceptual understanding
- Visual memories / visual processing
8
Q
Occipital Lobe Function
A
- Sight
9
Q
Cerebellum Function
A
- Balance
- Coordination
10
Q
Right Side Brain Function
A
- Non-verbal and artistic abilities
- Visio-perceptual function (hand eye coordination)
- Spatial relationships
- Perception of ones position in space
- Non-verbal communication (gestures)
- Judgement (impulsive)
- Anosognosia (person cannot perceive that they have a disability)
11
Q
Left Side Brain Function
A
- Reasoning
- Organized
- Analytical
- Memory
- Speech and verbal comprehension
- Initiating a task / motor planning
12
Q
MCA Stroke Overview
A
- Supplies temporal and parietal
- “MCA” = “my crappy arm” (while ACA is my crappy ass)
- Affects contralat UE and lower face
- Affects R or L hemisphere causing variable symptoms (Broca’s/wernikes, unilateral neglect/perceptual deficits, sensory ataxia, apraxia/cant initiate task)
13
Q
Brunnstrom Stages
A
- 1 = flaccidity (pt not moving)
- 2 = onset of primitive reflexes (ATNR, babinski, etc)
- 3 = max spasticity (pt locked in specific position)
- 4 = spasticity declines and SOME movements are performed outside of synergy
- 5 = selective control of movement (can use one joint and other joint follows suit)
- 6 = near normal with coordinated motions out of synergy
- 7 = normal
14
Q
DOMINANT Pattern for LE Synergy
A
- Hip flexion
- Knee extension
- Ankle PF
- Toe flexion
- Bridges and tall kneeling are good exercises to pull most joints out of synergy
15
Q
LE Flexor Pattern
A
- Dog in a fire hydrant position
- Hip flexion, hip abd, hip ER, knee flexion, ankle DF, ankle inversion, and toe extension
16
Q
LE Extensor Pattern
A
- Michael Jackson
- Hip extension, hip add, hip IR, knee extension, ankle PF, ankle inversion, toe flexion
17
Q
UE Flexor Pattern
A
- QB throwing a football
- Scap retraction and elevation, shoulder abd, shoulder ER, elbow flex, forearm supination, wrist and finger flexion
18
Q
UE Extensor Pattern
A
- Baseball pitcher at the end of a throw
- Scap protraction, shoulder add, shoulder IR, elbow extension, forearm pronation, wrist and finger flexion
19
Q
DOMINANT UE Synergy Pattern
A
- Shoulder adduction
- Elbow flexion
- Forearm pronation
- Wrist and finger flexion
