Recovery Flashcards

1
Q

T or F people may progress through different types of aphasias throughout recovery

A

True!

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2
Q

Most radical changes are within the first ___ hours

A

48

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3
Q

Which type of aphasia has the poorest prognosis?

A

Global (largest lesion)

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4
Q

Subcortical lesions _____ prognosis than cortical because the primary language areas are _____

A

better, spared

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5
Q

What affects recovery in Wernicke’s aphasia? (3)

A
  • Initial severity
  • Presence of jargon = worse prognosis
  • Lesion location
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6
Q

What changes are noted in global aphasia at the beginning of recovery?

A
  • rapid changes in verbal expression in conversation

- improve in auditory comprehension and gesturing

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7
Q

T or F Broca’s has greater recovery

A

True

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8
Q

In early days Broca’s presents with _______ speech In later days more like _____ aphasia
(This would occur in first 48hrs)

A

agrammatic/stereotyped
anomic

(progression to a milder more fluent form)

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9
Q

What 3 types of aphasia have excellent outcomes?

A
  • Anomic, conduction and transcortical aphasics
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10
Q

Patients with conduction aphasia may progress to a more ______ aphasia

A

anomic

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11
Q

Which is the least severe aphasia?

A

anomia

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12
Q

Thromboembolic has (worse/better) recovery and Hemorrhagic (worse/better) recovery

A

Worse (slow at the beginning but may progress more quickly)

Better (Tissue not permanently damaged)

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13
Q

Why would impaired auditory comp. lead to worse prognosis?

A

because the client doesn’t believe they have difficulty they aren’t as liekly to buy into therapy – as with Wernicke’s

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14
Q

Which lesion site has worse prognosis Primary Language zone vs. borderline areas?

A

Primary language zones

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15
Q

In the 2017 study looking at risk factors for the young (18-55 y/o) what were found to be the biggest risks?

A

low physical activity, uncontrolled hypertension, atrial fibrillation (Which is inconsistent irregular of heartbeat/racing heart beat)

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16
Q

Age is a _____ factor in recovery (copenhagen study). Why is this multifactoral?

A

positive

mulifactoral since older ppl are also more likely to have additional health issues like diabetes, hypertension…)

17
Q

Research on effects of Gender, education and handedness are __________

A

inconsistent

18
Q

African–Americans _____ prognosis than caucasians. This confounded with what?

A

worse

- Counfounded with access + quality of care

19
Q

What is the Rule of Ribot?

A

First Lang learned recovers first

20
Q

What Rule of bilingual recovery states that the most frequently used language recovers first?

A

Rule of Pitres

21
Q

Depression is more common in _______ hemisphere stroke and is more likely when they have _________

A

Left

Pre-stroke history of depression

22
Q

Post stroke fatigue is correlated with what two negative outcomes?

A
  • Correlated w lower QoL + high risk of death
23
Q

What is an example of cognitive fatigue.

A

> Reading is effortful, gets worse as they go along

24
Q

_____________ is related to post-stroke fatigue because they aren’t entering a normal sleep cycle

A

Sleep apnea

25
Q

Pain is associated with which type of stroke?

A

Thalamic

26
Q

What is the effect SES on recovery?

A
  • Lower socieconmoic status = poorer functional recovery
27
Q
  • Greatest gains in the first ____months
A

3-4

28
Q

Spontaneous recovery is recovery unrelated to _______

A

treatment

29
Q

____ exercise has positive effects on brain function and recovery from stroke

A

Aerobic

30
Q

Why can communcation partners be noth a positive and negative factor in recovery?

A
  • More likely to return home if you have a spouse to support but it’s mixed cus partner may takeover/ talk for the patient
31
Q

Family, friends and community resources are ______ factors on recovery

A

positive