Stroke

Question 1

Stroke

Answer 1

A sudden interruption in the blood supply to the brain.

2 main causes:
Ishaemic - blood cot blocking the supply to the brain.

Haemorphagic - leakage in the blood supply to the brain. Weakened blood vessel

Question 2

Clinical presentation

Answer 2

Dense contralateral hemiplegia 
Contralateral hemianopia
Cortical sensory loss
Aphasia, dysphasia 
Swallowing difficulty - dysphagia 
Neglect
Memory problems 
Bladder control problems 
Visuospatial disturbance

Question 3

Guidelines
NICE
ACSM

Answer 3

NICE guidelines recommend - short, frequent interventions, every day targeted at recovery of mobility.

NICE recommend- positioning, passive movement and active ROM for spasticity and contracture management.

ACSM Guidelines 8-12 reps 1-3 sets 2-3 times a week. Could alter depending on patient fatigue levels.

Question 4

Outcome measures

Answer 4

Fugi Meyer assessment of motor recovery after stroke - asses sensorimotor impairment

Modified Ashworth scale for tone

Stroke impact scale
6 min walk
Functional independence measures
River mead mobility

Question 5

Scenario

Answer 5

Patient walking with a pole and with assistance of one, couldn’t turn head to look and walk at the same time.

Eating being able to coordinate hand to mouth movement.