stroke Flashcards
CVA: UMN or LMN?
UMN
what will you see with UMN disorders?
hypertonia (velocity dependent)
hyper reflexia
decreased sensation
muscle spasms
movements in synergic patterns
what will you see with LMN disorders?
hypotonia
hyporeflexia
decreased sensation
fasciculations (twitching)
weak or absent voluntary movement
what will you see in basal ganglia disorder?
rigidity (not velocity dependent)
decreased or normal reflexes
normal sensation
resting tremors
bradykinesia or akinesia
(Parkinson’s)
what will you see in cerebellar disorders?
decreased or normal tone and reflexes
normal sensation
no involuntary movements
ataxia, intention tremor, dysmetria, dysdiadochokinesia, nystagmus
what will you see in R hemispheric stroke?
perceptual deficits (neglect)
difficulty with visual cues
L sided hemiparesis/hemisensory loss
quick, impulsive, safety risk
rigidity of thought
difficulty with negative emotions
think of a happy baby
what will you see in L hemispheric stroke?
R sided hemiparesis/hemisensory loss
Language impairments (aphasia)
respond better to demonstration than verbal cues
slow, cautious behavior
difficulty with positive emotions
distractible
Language = Left
think sad oLd person
what will you see with an ACA?
contralateral hemiparesis/hemisenosry loss (more in LE)
urinary continency (baby ABCD)
problems with imitation, bimanual tasks, apraxia
slowness, delay, motor inaction
contralateral grasp reflex, sucking reflex (baby)
which is most common: MCA, ACA, PCA?
MCA
acronym for MCA?
MPH
mouth (speed impairments)
perception (unilateral neglect)
hemianopsia (contralateral homonymous)
L MCA, superior division, what will be affected?
Broca’s area
Broken speech
Expressive
Nonfluent
understands but can’t reply
what is seen with R MCA?
unilateral neglect (lack of awareness on weak side)
heminegLEFT (usually left side neglected)
what side with homonymous hemianopsia be with a R MCA?
L side cut of both eyes
is UE or LE affected more in MCA?
UE
what would be affected in inferior division of L MCA?
Wernicke’s area
word salad
what would cause thalamic pain syndrome?
central territory PCA
what is prosopagnosia?
what would case it?
inability to recognize familiar faces
seen in peripheral territory PCA?
what would cause dyslexia (difficulty reading) without agraphia (difficulty writing)
PCA peripheral territory
how do you assess spasticity?
PROM
what’s synergy?
a patterned movement during AROM
what Brunnstrom stage is peak spasticity?
III
how can you remember spasticity pattern in UE?
chicken dance
how can you remember spasticity pattern in LE?
ballerina
how can you remember flexion synergy pattern or UE?
showing off bicep
how can you remember extension synergy pattern of UE?
waiter’s tip
how can you remember flexion synergy pattern of LE?
Vrunda’s husband
how can you remember extension synergy of LE?
ballerina
if you are unable to hear, what CN is affected?
CN 8, vestibulocochlear nerve
if I hear too much, which CN nerves affected? Bonus what reflex do these control?
CN 5 & 7 (trigeminal and facial)
corneal reflex
