Stroke Flashcards
NICE 2013 information on stroke?
- major health problem in the UK
2. 100,000 people have a stroke in England have a first or recurrent stroke a year.
What should stroke rehab involve? (NICE 2013)
- multidimensional process
2. designed to facilitate restoratoin or adpatation to loss of physiological or psychological funtion
What are the aims of stroke rehabillitation?
- Enhance functional activities
- Enhance participation in society
- through these factors improve QOL
Name a study which used CIMT and discuss the major findings?
Wolf et al. 2006
- 2 week couse of CIMT
- immediate improvement in the quality, speed and quality and amount of paretic arm use in daily life
Furthermore the advantages of the CIMT group maintained for 12 months post treatment
Klitago et al (2013) also used CIMT
Name and discuss the findings of a study which used specific task training
Schaefer et al., 2013
- Task = trained feeding task – moving beans from one cup to another
- Used massed practice and only KR
- Transfer tasks = sorting blocks and dressing (fastening + unfastening buttons sequentially)
- Feeding performance improved with training
- Transfer tasks improved from pre-post test
Name and discuss a study which used faded feedback?
- Reflects different performance stratifies based on feedback type
- Learning is enhanced by a feedback of faded frequency
Discuss using studies the use of video games or virtual reality in stroke rehabillitation?
- Using glove for virtual reality reach and grasp tasks improved Fugl-Meyer assessment for upper extremity (connelly et al. 2009)
- Review: Burke et al. (2009)
- Saposnik (2011) significant improvements in upper limb motor impairment and in motor function after VR
Name a study which used intense masses practice for balaance?
Vearier et al. 2005
- (6h/day for 2 consecutive weeks)
Discuss a study which has investigated the psychological impacts
Jaracz et al. 2003
- lower score of QOL than counterparts
- highest score in famiy domain
- lowest in health and functioning
