) PRM in stroke

Question 1

aims of PRM rehab in stroke

Answer 1

prevention of disability

optiomum functional recovery of brain function

acheiving independence in daily activities according to the severity and type

Question 2

which complications should stroke rehab prevent

Answer 2

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

Question 3

what is the stroke rehab plan based on

Answer 3

assesment and rehab potential

Question 4

what is the assesment and rehab potential based on

Answer 4

general condition of the patient

changes in consciousness of the patient

motor deficiency eval

• brunsstrom score
• aschworth scale (asses spacticity)
• barthel index
• locomotor index

Question 5

list the 4 stages of functional stroke recovery

Answer 5

acute stage= 3 months
early recovery= 3-6 months
advanced recovery= up to 18 months
permamnent disabilty= after 2 years

Question 6

how long is the acute stage for ischemic stroke

Answer 6

2 days

Question 7

how long is the acute stage for hemorrhagic stroke

Answer 7

3-4 days

Question 8

complications prevented in acute stage stroke PRM

Answer 8

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

Question 9

where does rehab occur in the acute stage

Answer 9

hopspital
-2nd day for ischemic
4th day for hemorrhagic

Question 10

types of treatment in acute stage

Answer 10

positional rx

passive excercises

Question 11

what is positional rx

Answer 11

set of positions that aim to unifiy body segments
- head, tunk, and lumbs
for ean antispastoc effect

Question 12

how do passive excercises aid stroke recovery

(dont get this at all

Answer 12

recruitment of unudrf neural pathways thay

• improve neural recovery
• imkprove cortical reorganisation

Question 13

when is the early recovery period initiated in stroke

Answer 13

ischemic strorke - 5th day
localised trunk stroke- 10th day
hemorraghic stroke - 14th day
subarachnoid haemorrhage -21st day

Question 14

what does the early recovery phase aim to acheive

Answer 14

bed independence

ability to perform daily activities for living

Question 15

list the excercises that imrprove balance and coordination in stroke pt’s

Answer 15

walker
suspension therapy
occupational therapy
use of assistive devices for healthy limbs

Question 16

when is advance therapy performed

Answer 16

6th-18th month

Question 17

purpose of advanced therapy

Answer 17

improve gait
improve fine movement
improve independent movement in paralyzed limbs

Question 18

kinesuotherapy techniques to improve neurodevelopmental function

Answer 18

bobath
brunstromm
kabath
ryazakova

Question 19

kinesiotherapeutic scheme

Answer 19

inhibit spasticity
destroy primitive motor pathways
strengthen active movements
constraint therapy
robot assisted training
intensive task therapy
mental imagery

Question 20

explain constraint induced movment therapy

Answer 20

forced use of affected upper extremity while discouraging the use of the unnafected one

Question 21

what is robot assisted excercise therapy

Answer 21

involves treaining with partially suspended body weight to facilitate locomotor abilities

Question 22

methods to relax the increased muscle tone in stroke

Answer 22

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