stroke Flashcards
1
Q
ACA stroke
A
2
Q
where does the anterior cerebral artery stem from
A
internal carotid artery
- supplies oxygen rich blood to the front of the brain
3
Q
which lobes does the anterior cereal artery supply blood to
A
- the frontal and parietal lobes
- supplies structures deep within the brain such as the cingulate cortex and internal capsule
4
Q
what are the function of the frontal lobes
A
- voluntary movement,
- expressive language
- thinking emotions, judgement , self control
- memory and storage
5
Q
what are the functions of the parietal lobes
A
- sensory perception and integration
- hearing, touch , slight touch and smell
6
Q
what is a hemmorgic stroke
A
- happens when a artery burst or ruptures and continues to bleed
7
Q
common symptoms of left sided ACA
A
- right sided hemipheresis
- sensory deficits
- aphasia
8
Q
what is hemipheresis
A
- weakness on one half of the body
9
Q
physiotherapy treatment of hemiparesis
A
- 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
10
Q
what to expect with someone who had six weeks post ACA injury
A
11
Q
effects of aphasia on the right side
A
- speech disorders
- ability producing and comprehending speech
12
Q
how to treat someone with aphasia who ma have difficulty comprehending speech
A
13
Q
main problem with the case studies
A
- 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.
14
Q
main area of treatment
A
- 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.
14
Q
main area of treatment
A
- 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.
15
Q
treating hypotonia in the shoulder
A
- 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
