PT Exam and Management of Hemiplegia Flashcards
What is the proper range for systolic blood pressure?
> 90 and <200
90-200
What is the proper range for diastolic blood pressure?
<110
What is the proper range for heart rate?
> 50 and <100
50-100
What does elevated INR indicate?
Increased chance for bleed.
INR~4 be very cautious
What are the chances of a DVT post-stroke?
30-75%
What would be considered normal for for O2 saturation?
> 90%
Below is respiratory insufficiency. Be on the lookout in those post stroke.
What type of stroke increases the chances of having seizures the most?
Hemoorrhagic 34%
Ischemic is 10%
Name 5 common problems encountered post-CVA.
- Dysphagia
- Cognitive problems
- Seizures
- Language deficits
- Visuospatial and perceptual disturbances.
_____ is difficulty with swallowing and can be _____ or can lead to ______.
Dysphagia
silent
pneumonia
3 compensatory strategies for dysphagia include:
thickening liquids, chin tucks during swallowing, and taking small sips.
3 treatments used for dysphagia include:
vitalSTIM NMES, posture/environmental set up, and mirror feedback.
People with ______ hemiplegia will often have attention deficits and distractibility.
Left hemiplegia.
_____ is a common visual disturbance seen with stroke patients.
Homonymous hemianopsia=loss of vision on the same side of both eyes.
Stroke patients often have body image disorders, difficulty with R/L discrimnation, and body scheme disorders known as _______.
somatagnosia= cant identify or orient one’s body parts
Perceptual deficits often experienced include:
depth, distance, and vertical
Agnosia is ________.
the inability to recognize familiar objects using one or more sensory modalities, while often retaining the ability to recognize the same objects with other modalities.
Anosognosia is ______.
the sever denial, neglect, and lack of awareness of the presence or severity of one’s deficits.
very common in Left hemiplegia
Dysarthria is ______. And can also affect:
difficulty saying words due to muscle dysfunction.
respiration, phonation, articulation, resonance
Treatment for dysarthria includes:
tongue and oral motor ex, functional speaking ex, and posture
Aphasia impairs ______ and usually occurs in the _____ hemisphere.
the expression and/or understanding of language,
dominant
____ aphasia is also known as expressive aphasia which means they have a hard time getting words out.
Broca’s
______ aphasia is also known as receptive aphasia where the patient has a “word salad” and doesn’t always understand your commands.
Wernike’s
____ aphasia is a combination of both Broca’s and Wernike’s.
Global
Hemiplegia or hemiparesis is a ______.
Lack of movement on one side of the body.
Aparaxia is _____.
the loss of the ability to execute or carry out skilled movements and gestures, despite having the ability and desire to perform them. Pt is unable to accomplish the task even though the directions are understood.
Mild apraxia is also known as _____.
dyspraxia
Aparaxia is often the result of an injury to the ______ lobe.
parietal
_____ is the most common form of apraxia and can be described as an _______.
Buccofacial or orofacial
inability to carry out facial movements on command.
Can spontaneously do something if not commanded.
_____ apraxia is the inability to make fine, precise movements with an arm or leg.
Limb-kinetic
____ apraxia is the inability to make proper movement in response to a verbal command.
Ideomotor
_____ apraxia is the inability to coordinate activities with multiple, sequential movements.
Ideational
Example: eating, dressing, and bathing.
_______ apraxia is difficulty coordinating mouth and speech movements on command.
Verbal
______ apraxia is the inability to copy, draw, or construct simple figures.
Constructional
_____ apraxia is difficulty moving the eyes on command.
Oculomotor
