Stroke classifications and rehabilitation Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What classification is used for stroke?

A

Oxford classification

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2
Q

Symptoms for Total Anterior Circulation Syndrome (TACS / TACI)?

A

Hemiparesis (contralateral) + Higher cortical dysfuction + Homonymous hemianopia

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3
Q

Symptoms of Partial Anterior Circulation Syndrome (PACS/ PACI)

A

Isolated higher cortical dysfunction
OR
Any two of:
* hemiparesis
* higher cortical dysfunction
* homonymous hemianopia

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4
Q

Symptoms of Posterior Circulation Syndrome (POCS / POCI) ?

A

Isolated hemianopia
Brainstem or cerebellar syndrome, shown as one of:
* cranial nerve palsy and contralateral motor/sensory deficit
* bilateral motor/sensory deficit
* conjugate eye movement disorder
* cerebrallar signs - vertigo, nystagmus, ataxia

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5
Q

Symptoms of Lacunar Syndrome (LACS/ LACI) ?

A
  • Pure motor stroke
    OR
  • Pure sensory stroke
    OR
  • Sensorimotor stroke
    OR
  • Ataxic hemipareis
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6
Q

Vascular territory for TACI/TACS?

A

Proimal MCA or ACA occluded

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7
Q

Vascular territory for PACS/PACI?

A

Branches of MCA - upper div or lower div

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8
Q

Vascular territory for POCI/POCS?

A

Occlusion of vertebrobasilar arteries - so includes vertebral, basilar, cerebellar or PCA vessels

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9
Q

Vascular territory of LACS/LACI?

A

Lentiulostriate branches of MCA
OR
Blood supply to brainstem or deep white matter (Internal capsule or thalamus)

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10
Q

Define rehabilitation

A

Goal oriented exercise

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11
Q

Define reablement

A

Reablement is a type of care that helps you relearn how to do daily activities, like cooking meals and washing

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12
Q

What services are involved in rehabilitation?

A

Mobility services
Speech and language therapy
Cognitive therapy
Managing spasticity
Envirobemntal modifications to enable goals to be reached

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13
Q

Who is involved in rehab?

A

Doctors
Rehab nurses
OTs
Physio
Speech and language therapists
Social workers
Psychologists
Carers

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14
Q

What are barriers to stroke rehabilitation/recovery for patients?

A
  • Physical deficits
  • Cognitive deficits
  • Mood
  • Medication issues
  • Lack of support
  • Lack of resources - including the skill of the rehab team
  • Stigma
  • Culture
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15
Q

When does rehab begin?

A

24-48hrs post stroke, usually in acute stroke unit

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16
Q

Main psychological problems affecting rehab?

A

Depression - feel hopeless, withdraw from activities
Anxiety

17
Q

What is assessed in stroke cognitive assessment before rehab can be planned?

A
  • ability to communicate
  • spatial awareness
  • memory
  • concentrtion
  • executive function - ability to plan, solve problems and reason about situations
  • praxis - carrying out skilled physical activities e.g. making cup of tea, getting dressed.

From this assessment, can make goal based rehab program