Stroke Interventions Flashcards
What is CIMT, and what does it aim to achieve?
CIMT is a neurorehabilitation technique that constrains the unaffected limb to force use of the affected limb, aiming to improve function in the paretic limb
Who are ideal candidates for CIMT?
Patients with some active movement (e.g., wrist and finger extension).
≤3 on the Modified Ashworth Scale for spasticity.
Sufficient cognitive ability to understand and participate.
What are contraindications for CIMT?
Severe spasticity or joint deformities.
Significant cognitive impairments.
No active motor function in the affected limb.
Balance issues or shoulder pain.
What is mirror therapy, and when is it used?
Mirror therapy uses the reflection of the unaffected limb to create the illusion of movement in the affected limb. It’s used for motor recovery, sensory impairments, and pain management
Who are ideal candidates for mirror therapy?
Patients with limited or no active movement in the affected limb.
Those with visual or sensory impairments.
Often used as an adjunct to other therapies
What is pusher syndrome?
Pusher syndrome occurs when a patient actively pushes toward their affected side due to altered perception of vertical alignment.
how is pusher syndrome managed in therapy?
Visual and sensory reorientation to midline.
Avoid pushing or pulling the patient.
Provide trunk facilitation and eliminate objects for pushing.
When should therapy for pusher syndrome be initiated?
As soon as pusher behaviors are recognized. Early intervention is crucial for improving posture and balance.
What is robotic-assisted therapy?
Robotic-assisted therapy involves devices supporting repetitive, controlled limb movements to improve motor control and strength.
What are the applications for robotic-assisted therapy?
Upper limb: Paired with functional tasks.
Lower limb: Paired with gait training.
What are contraindications for robotic therapy?
Severe spasticity or joint deformities.
Skin conditions (e.g., ulcers).
Significant cognitive impairments.
What is high-intensity gait training, and who benefits most?
HIGT involves walking or stepping at 60-80% max HR to improve gait speed and endurance.
Best suited for:
Patients with mild to moderate gait impairments.
Those with sufficient balance and endurance.
What are contraindications for HIGT?
Cardiovascular conditions.
Orthopedic issues limiting high-intensity exercise.
High fall risk
What is functional electrical stimulation (FES), and how is it used?
FES applies electrical currents to stimulate muscle contractions, paired with functional tasks to improve movement in paralyzed or weak muscles.
Who are ideal candidates for FES?
Patients with limited voluntary movement but intact muscles and peripheral nerves.
Commonly used for foot drop or weak upper extremity muscles.
