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Final Frontier > stroke > Flashcards

stroke Flashcards

1
Q

anterior cerebral artery

A
  • contralateral hemiparesis in LE
  • contralateral hemisensory in LE
  • urinary incontinence (ACA-ABCD-baby/kids-diapers=pee=UI
  • problems with imitation, bimanual tasks, apraxia
  • slowness, delay motor inaction
  • contralateral grasp reflex, sucking reflex

think of LA (low on the map, thereferoe LE) and babies

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2
Q

middle cerebral artery

A
  • contralateral hemiparesis in UE
  • contralateral hemisensory loss in UE
  • Language speech impairments - brocas, wenickes, global aphasia
  • Perceptual disorders - unilateral neglect
  • contralateral homonynous hemianopsia

think MCA=MPH (miles per hour), mph= mouth, perceptual disorder, homonymous hemianopsia

most common

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3
Q

where is broca’s aphasia located

A

frontal lobe

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4
Q

non fluent aphasia =

A

brocas aphasia,
broken speech

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5
Q

where is weknicke’s aphasia located

A

temporal lobe

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6
Q

receptive aphasia =

A

wernicke’s aphasia

speech is intact; they canot understand what is being said

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7
Q

if the superior division of the MCA is affected, what kind of aphasia do you see

A

brocas

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8
Q

if the inferior division of the MCA is affected, what kind of aphasia do you see

A

wernickes

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9
Q

unilateral neglect is seen with which CVA

A

R MCA

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10
Q

posterior cerebral artery (syndrome)

A

peripheral territory
- - contralateral homonymous hemianopsia
- visual agnosia - prosopagnosia (cant identify faces/recognize)
- dyslexia WITHOUT agraphia
cant read but can write
- memory deficits
- topographical disorientation
everything is a maze

central territory
- central post stroke
- thalamic pain syndrome

posterior - occiptal lobe - o SEE pi tal — visual defecits is common

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11
Q

R hemisphere CVA

A
  • L hemiparesis and hemisensory loss
  • visual - perceptual impairments (neglect)
  • difficulty with visual cues
  • quick, impulsive, safety risk
  • rigidity of thought
  • diffculty with negative emotions
  • homonymous hemianopsia

think baby

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12
Q

L hemisphere CVA

A
  • R hemiparesis/hemisensory loss
  • language impairments (aphasias)
  • difficulty with verbal cues
  • slow and cautious
  • highly distractible
  • difficulty with positive emotions
  • homonymous hemianopsia

Think old people

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13
Q

compare R v L hemisphere CVA

A
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14
Q

difference between synergy and spasticity

A

spasticity - rest - PROM
synergy - energy - AROM

synergy is compensatory movement

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15
Q

brunnstrom stages of stroke recovery

A
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16
Q

brunnstrom stage 1

A

flaccid
- no active limb movement

17
Q

brunnstrom stage 2

A

beginning of minimal voluntary movement
- in synergy, with associated reactions
- increased tone

18
Q

brunnstrom stage 3

A

voluntary control of movement synergy (spasticity at peak)
- further increased tone to peak level

19
Q

brunnstrom stage 4

A

movement outsided of synergy
- tone starts to decrease

20
Q

brunnstrom stage 5

A

increased complex movement, greater independence from limb synergies

21
Q

brunnstrom stage 6

A

individual joint movement, coordinated movement

hold 6 fingers up with hands, you have one hand that has 1 finger = individual mvoement

22
Q

brunnstrom stage 7

A

normal function

23
Q

spasticity pattern of UE

A

scap: retraction, downward rotation
sh: adduction, IR, depression
elbow: flexion
forearm: pronation
wrist: flexion, adduction
hand: finger flexion, clenched fist thumb, adducted in palm

seen at rest

24
Q

spasticity pattern in LE

A

pelvis: retraction (hip hike)
hip: adduction (scissoring), IR, extension
knee: extension
foot and ankle: PF, inversion, equinovarus, toes claw, toes curl

toes claw: tarsometatarsal extension and MTP flexion
toes curl: tarso and MTP flexion

think ballerina’s back leg when in rellevay

25
Q

flexion synergy of UE

A
  • scapula retraction/elevation or hyperextension
  • shoulder abduction, ER
  • elbow flexion
  • wrist and finger flexion
26
Q

extension syngery of UE

A
  • scapular protraction
  • shoulder adduction, IR
  • elbow extension
  • forearm pronation
  • wrist and finger flexion
27
Q

flexion synergy patterns for LE

A
  • hip flexion, abduction, ER
  • knee flexion
  • ankle DF, inversion
  • toe DF

think of man sitting in figure 4 stretch

28
Q

extension synergy of LE

A
  • hip extension, adduction, IR
  • knee extension
  • ankle PF, inversion
  • toe PF

same as ballerina, LE spasticity

Final Frontier (20 decks)

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