Stroke

Question 1

When is the NIH stroke scale used?

Answer 1

First couple days after stroke

Question 2

What is the NIH stroke scale used for

Answer 2

Early prognostic indicator for recovery

Question 3

T or F…
A lower score on the NIH means better prognosis?

Answer 3

True! Lower is better higher is worse

Question 4

What type of brunnstrum movement therapy is the following:
an involuntary automatic movement in involved limb with active or resisted movement of another body part

Answer 4

Associated reaction

Question 5

What type of brunnstrum movement therapy is the following:
a flexion pattern of the involved UE facilitates flexion of the involved LE

Answer 5

Homolateral synkinesis

Question 6

T or f….

Ramiste’s phenomenon: involved LE will ABD or ADD with applied resistance to the uninvolved LE in the same direction

Answer 6

True this is the way

Question 7

What type of brunnstrum movement therapy is the following:

raising involved UE above 100o (flexion / abd with ER) with elbow extension will produce extension and abduction of the fingers

Answer 7

Souques’ phenomenon
This can cause GH impingement. Assess if pt has a mobile scapula first before doing this

Question 8

What type exercise is more difficult for Pt with neurological involvement..
Open vs closed chain?
Why?

Answer 8

Open chain is harder bc it is more difficult to selectively activate a particular mm

Question 9

What demographic of pts would you use the PASS with?

Answer 9

Acute stroke

Question 10

TIS q’s n pass q’s on slide 53

Question 11

Are overhead pulleys indicated for pts with stroke?

Answer 11

NOOOO, it’s contraindication. It’ll cause shoulder impingement and pain. This is due to a non mobile scapula