Recovery Flashcards
T or F people may progress through different types of aphasias throughout recovery
True!
Most radical changes are within the first ___ hours
48
Which type of aphasia has the poorest prognosis?
Global (largest lesion)
Subcortical lesions _____ prognosis than cortical because the primary language areas are _____
better, spared
What affects recovery in Wernicke’s aphasia? (3)
- Initial severity
- Presence of jargon = worse prognosis
- Lesion location
What changes are noted in global aphasia at the beginning of recovery?
- rapid changes in verbal expression in conversation
- improve in auditory comprehension and gesturing
T or F Broca’s has greater recovery
True
In early days Broca’s presents with _______ speech In later days more like _____ aphasia
(This would occur in first 48hrs)
agrammatic/stereotyped
anomic
(progression to a milder more fluent form)
What 3 types of aphasia have excellent outcomes?
- Anomic, conduction and transcortical aphasics
Patients with conduction aphasia may progress to a more ______ aphasia
anomic
Which is the least severe aphasia?
anomia
Thromboembolic has (worse/better) recovery and Hemorrhagic (worse/better) recovery
Worse (slow at the beginning but may progress more quickly)
Better (Tissue not permanently damaged)
Why would impaired auditory comp. lead to worse prognosis?
because the client doesn’t believe they have difficulty they aren’t as liekly to buy into therapy – as with Wernicke’s
Which lesion site has worse prognosis Primary Language zone vs. borderline areas?
Primary language zones
In the 2017 study looking at risk factors for the young (18-55 y/o) what were found to be the biggest risks?
low physical activity, uncontrolled hypertension, atrial fibrillation (Which is inconsistent irregular of heartbeat/racing heart beat)
Age is a _____ factor in recovery (copenhagen study). Why is this multifactoral?
positive
mulifactoral since older ppl are also more likely to have additional health issues like diabetes, hypertension…)
Research on effects of Gender, education and handedness are __________
inconsistent
African–Americans _____ prognosis than caucasians. This confounded with what?
worse
- Counfounded with access + quality of care
What is the Rule of Ribot?
First Lang learned recovers first
What Rule of bilingual recovery states that the most frequently used language recovers first?
Rule of Pitres
Depression is more common in _______ hemisphere stroke and is more likely when they have _________
Left
Pre-stroke history of depression
Post stroke fatigue is correlated with what two negative outcomes?
- Correlated w lower QoL + high risk of death
What is an example of cognitive fatigue.
> Reading is effortful, gets worse as they go along
_____________ is related to post-stroke fatigue because they aren’t entering a normal sleep cycle
Sleep apnea
Pain is associated with which type of stroke?
Thalamic
What is the effect SES on recovery?
- Lower socieconmoic status = poorer functional recovery
- Greatest gains in the first ____months
3-4
Spontaneous recovery is recovery unrelated to _______
treatment
____ exercise has positive effects on brain function and recovery from stroke
Aerobic
Why can communcation partners be noth a positive and negative factor in recovery?
- More likely to return home if you have a spouse to support but it’s mixed cus partner may takeover/ talk for the patient
Family, friends and community resources are ______ factors on recovery
positive
