stroke Flashcards
ACA stroke
where does the anterior cerebral artery stem from
internal carotid artery
- supplies oxygen rich blood to the front of the brain
which lobes does the anterior cereal artery supply blood to
- the frontal and parietal lobes
- supplies structures deep within the brain such as the cingulate cortex and internal capsule
what are the function of the frontal lobes
- voluntary movement,
- expressive language
- thinking emotions, judgement , self control
- memory and storage
what are the functions of the parietal lobes
- sensory perception and integration
- hearing, touch , slight touch and smell
what is a hemmorgic stroke
- happens when a artery burst or ruptures and continues to bleed
common symptoms of left sided ACA
- right sided hemipheresis
- sensory deficits
- aphasia
what is hemipheresis
- weakness on one half of the body
physiotherapy treatment of hemiparesis
- muscles to improve muscle strength to facilitate use of the arm or leg.
- exercises to improve hand function and dysterity
- exercises to improve trunk control and core stability
- exercise to improve range of movement and gait re education
- referral to occupational therapy or speech therapist
- lease with careers and family about activities of daily living
what to expect with someone who had six weeks post ACA injury
effects of aphasia on the right side
- speech disorders
- ability producing and comprehending speech
how to treat someone with aphasia who ma have difficulty comprehending speech
main problem with the case studies
- flickers of selective movement but stronger proximally but not distally 1-2/5 , reduce strength
- reduce sitting balance and tires with sitting . lead to her needing to transfer from bed to wheel chair using a hoist and the assistance of two people .
- right upper limb hypertonic around the shoulder.
- pain in the right shoulder especially when the arm is moved
- loss of range of motion due to spasticity returning in her elbow, fingers and wrist.
- tightness in her right ankle in gastric and soles muscles.
main area of treatment
- improve strength in lower limb since she has flickers of movement
- improve sitting balance so that she will be able to transfer to the wheel chair without the hoist and with a transfer board instead.
main area of treatment
- improve strength in lower limb since she has flickers of movement
- improve sitting balance so that she will be able to transfer to the wheel chair without the hoist and with a transfer board instead.
treating hypotonia in the shoulder
- mobilising into the wheelchair using a transfer board, and during sitting balance put patient next to the wall at home or sitting next to someone. which leg to put in first when transferring and where the therapist could be
- shoulder shrugs to maintain range of movement will help with wasting and daily task
what causes hypotonia
treating muscle flickers after a stroke
- exercises that would improve blood flow to the muscle fibres
- can help require the brain
how does neruoplasticity can help with flickers.
how does neruoplasticity can help with flickers.
how to improve loss of range of motion due to spasticity
- exercises focusing on strengthening large muscle group.
SMART goal for case
- to be able to sit up in bed unsupported for a period of time within two weeks
measurable- time how long she sits with minimal adjustments. , putting pressure in the right leg.
achievable- she is already able to perform lie to sit but get tired when sitting up in bed for long periods
-realistic- improvements in posture before leaving hospital would prevent further complications. - improving sitting balance
- process to be able to transfer from bed to wheelchair using a transfer board.
- maintain abduction and flexion of the right upper limb to aid wasting and personal hygiene with NOS ass of 1 within 2 weeks
-standing transfer using a return aid because the person would only need strength in one leg however, would still require assistance and supervision
outcome measure of case study
standing transfer using a return aid, easy to assess by multiple physios
inter reliability skill would depend on the physio
- arm activity measure
sitting unsupported for a long period of time, same number of pillows
exercises to improve sitting balance treatment
- putting a cone in different places, to help with twisting and reaching for objects
- reminding the patient to try to push into the legs, could off weight one of the legs.
- moving so the person would have to move further and having a person on each side
person sitting on a cushion that would channalnge their balance.
place affected side of upper and lower limb in weight bearing position to facilitate it use in balance
using a mirror so she can see her self, or using things with different textures, pushing from different sides to not let the person be tipped over., giving feedback
how to progress her treatment after four weeks
- optimising position of the upper limb to enable full night sleep by supporting with pillows
what muscle targeted during shoulder shrugs
what muscle targeted during shoulder shrugs
what muscle targeted during shoulder shrugs
what muscle targeted during shoulder shrugs
neuro anatomy structures affected during ACA
what muscle targeted during shoulder shrugs
neuro anatomy structures affected during ACA
what muscle targeted during shoulder shrugs
what muscle targeted during shoulder shrugs
affects of having surgery after an affect abscess , how can it result from having spinal cord injury
grade C spinal cord injury
- motor function is preserved along the neurological injury
-the impairment is incomplete - more than half the muscles below the neurological level have a muscle grade less than 3 , muscles not strong enough to move against gravity.
affect of L4 spinal cord injury
- affect sensations at the front and lower regions of the lower leg
- hip extension, the ability to bring the leg back uo
- hop abduction affected
- inability to rotate the hip inward , internal rotation
-bending of the knee , inversion and eversion as well as toe extension
main problems
- weakness in her left foot
- stronger in the hip muscles
- shooting pain in incision site
incision site for clearing access in the spine
treatment for case study
- transferring from the bed to the chair with the bed transfer board.
