) PRM in stroke Flashcards
aims of PRM rehab in stroke
prevention of disability
optiomum functional recovery of brain function
acheiving independence in daily activities according to the severity and type
which complications should stroke rehab prevent
thrombosis
contractures (particularly on the arm due to flexion)
frozen shoulder
shoulder subluxation
brachial plexus injury
reflux sympathetic dystrophy
incontinence
bladder dysfunction
sexual dysfunction
depression
seizures
spacticity
what is the stroke rehab plan based on
assesment and rehab potential
what is the assesment and rehab potential based on
general condition of the patient
changes in consciousness of the patient
motor deficiency eval
- brunsstrom score
- aschworth scale (asses spacticity)
- barthel index
- locomotor index
list the 4 stages of functional stroke recovery
acute stage= 3 months
early recovery= 3-6 months
advanced recovery= up to 18 months
permamnent disabilty= after 2 years
how long is the acute stage for ischemic stroke
2 days
how long is the acute stage for hemorrhagic stroke
3-4 days
complications prevented in acute stage stroke PRM
complications of muscular system
- contractures
- tendon retraction
- heterotropic ossification = presence of bone in soft tissue where bone normally does not exist
complications of respiratory system
- hypostatic pneumonia
decubitis
where does rehab occur in the acute stage
hopspital
-2nd day for ischemic
4th day for hemorrhagic
types of treatment in acute stage
positional rx
passive excercises
what is positional rx
set of positions that aim to unifiy body segments
- head, tunk, and lumbs
for ean antispastoc effect
how do passive excercises aid stroke recovery
(dont get this at all
recruitment of unudrf neural pathways thay
- improve neural recovery
- imkprove cortical reorganisation
when is the early recovery period initiated in stroke
ischemic strorke - 5th day
localised trunk stroke- 10th day
hemorraghic stroke - 14th day
subarachnoid haemorrhage -21st day
what does the early recovery phase aim to acheive
bed independence
ability to perform daily activities for living
list the excercises that imrprove balance and coordination in stroke pt’s
walker
suspension therapy
occupational therapy
use of assistive devices for healthy limbs
when is advance therapy performed
6th-18th month
purpose of advanced therapy
improve gait
improve fine movement
improve independent movement in paralyzed limbs
kinesuotherapy techniques to improve neurodevelopmental function
bobath
brunstromm
kabath
ryazakova
kinesiotherapeutic scheme
inhibit spasticity destroy primitive motor pathways strengthen active movements constraint therapy robot assisted training intensive task therapy mental imagery
explain constraint induced movment therapy
forced use of affected upper extremity while discouraging the use of the unnafected one
what is robot assisted excercise therapy
involves treaining with partially suspended body weight to facilitate locomotor abilities
methods to relax the increased muscle tone in stroke
heat applications -solux, parrafin cryotherapy electrostimulation of spastic muscle -LF -MF occupational therapy laser therapy for pressur ulcers.. speech therapy for safe swallowing and communication
