spinal cord injuries/TBI/stroke Flashcards
brown sequard
causes:
ipsilateral paralysis and sensory loss
contralateral proprioception, light touch, vibratory sense
what SCI: LE more involved than UE, loss of pain, temperature
Anterior cord syndrome
S&S of what type of SCI: UE>LE, typically regain ability to walk
central cord syndrome
S&S of what type of inury: bowel and bladder areflexia, saddle anesthesia
cauda equina
want to maintain tendonesis in all injuries above
C6
S&S of what type of stroke: UE>LE, contralateral homonymous hemianopsia,
MCA
expressive nonfluent aphasia
brocas (BEN)
cannot talk but can understand
receptive fluent aphasia
wernikes
can talk but cannot understand
hand pt toothbrush but doesn’t know what to do with it
IDEAtional apraxia (doesnt know what to do)
tell pt to brush teeth and they cannnot follow command, but when left alone they can brush teeth
ideoMOTOR apraxia
(cannot follow motor command but can complete task
S&S of what type of stroke: contralateral homonymous hemianopsia, memory deficits, visual agnosia, central post-stroke pain
posterior CVA
S&S of what type of stroke: MCA + ACA involvement
internal carotid
S&S of what type of stroke: often catastrophic, comatose, quads, poor prognosis
LOCKED IN SYNDROME
vertebrobasalar artery
R CVA presentation
left weakness, left neglect, poor judgement, impulsitivity, short attention span, communication issues, cog issues
Rambunctious: impulsive
L CVA presentation
R weakness/paralysis, aphasia (2/2 wernicke’s or broca’s), personality changes, difficult with new info
oLd: cautious in decsion making
UE synergy flexion pattern
SCAPULA: retraction, elevation and/or hyperextension SHOULDER: abd and ER ELBOW: flexion FOREARM: supination WRIST/FINGER: flexion
LE synergy flexion pattern
HIP: flexion, abd, and ER
KNEE: flex
ANKLE: DF
TOE: flex
Brunnstrome’s stages of recovery (what are the important #s)
stage 1: flacid
stage 4: movement outside synnergy
stage 7: normal function
Chop
lead arm goes away from body
OUT OF SYNERY
D1 flex-> D1 ext
lift
lead arm goes towards body
D2 ext-> D2 flex
Glascow coma scale
<8 real bad 15 is normal eyes open score: 1-4 verbal response: 1-5 (think 5 fingers to mouth) motor response: 1-6 (thumbs up)
decorticate position
UE in flex, LE in ext
decerebrate
extensor tone in all
opisthotonus
looks like you are being possessed strong ext through out including neck
ranchos
I is no response
IV is confused and agitated
VIII is purposeful and appropriate
what type of stroke:
LE>UE, memory and behavioral impairements
anterior cerebral artery
