Stroke Rehabilitation Flashcards

1
Q

What is dysphasia?

A

impairment of language speaking and understanding

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2
Q

What is aphasia?

A

complete lack of language expression and comprehension

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3
Q

Damage to which region causes expressive dysphasia?

A

Broca’s area

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4
Q

Damage to which region causes receptive dysphasia?

A

Wernicke’s area

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5
Q

How does expressive dysphasia manifest?

A

Understanding is preserved

and the patient tries to convey meaningful responses to the questions asked

however the speak is hesitant and stuttering

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6
Q

How does receptive dysphasia manifest?

A

speech is fluent and confident

but does not make sense

because the pt does not recognise the errors they are making

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7
Q

In strokes is it common to have receptive or expressive dysphasia?

A

It is common to have both as they are located close together

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8
Q

Where is Broca’s area located?

A

Lateral surface

slightly inferior

frontal lobe

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9
Q

Where is Wernicke’s area located?

A

Posterior areas of

superior temporal gyrus

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10
Q

What is dysarthria?

A

motor disturbance of speech

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11
Q

How does dysarthria manifest?

A

Individuals know what they want to say

but cannot get the words out correctly

because of weakness to the tongue or facial muscles

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12
Q

With complete dysarthria what can it then be difficult to differentiate from, but how can you figure out which is occuring?

A

Aphasia

In dysarthria, comprehension,

reading and

writing should not be affected

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13
Q

What is dysphagia?

A

abnormality of swallow

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14
Q

How common is dysphagia in the initial period of stroke?

A

40%

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15
Q

What is a particular risk with dysphagia?

A

Aspiration pneumonia

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16
Q

How is dysphagia managed?

A

modification of diet and fluids

SALT assessment and therapy

supplementary feeding (NG/PEG)

oral care

17
Q

What are the common neurophysiological and emotional features of stoke?

A

Sensory neglect

Agnosia

Astereognosis

Dyspraxia

Emotionalism

18
Q

How does sensory neglect manifest post-stoke?

A

A patient will recognise a stimulus unilaterally.

However when presented with a bilateral stimulus they will not identify a stimulus on the affected side.

19
Q

What is agnosia?

A

the inability to familiar recognise objects (by any of the senses, you can have specific types e.g. visual agnosia)

20
Q

What is astereognosis?

A

inability to recognise objects by touch

21
Q

What is dyspraxia?

A

the inability to perform tasks,

despite having the necessary strength and sensation for example

22
Q

Give a specific example of dyspraxia

A

Dressing apraxia (even in the absence of hemiparesis)

23
Q

What is the underlying issue in dyspraxia?

A

A problem with processing information

24
Q

What is emotionalism ?

A

patient cannot stop themselves from becoming emotional

25
Q

What are common stroke pain syndromes?

A

Muscle spasticity

Central post-stroke pain (CPSP)

26
Q

What is central post-stroke pain (CPSP) also known as?

A

Dejerine-Roussy syndrome

27
Q

What is the cause of central post-stroke pain (CPSP)?

A

a thalamic stroke

28
Q

What occurs in muscle spasticity?

A

painful increased tone that

occurs on the weakened side of the body