Strokes and Hemiplegia Flashcards
Caused by genetics, stroke, SC injury, brain injury
Hemiplegia
Non-progressive condition of paralysis on one side of body
Hemiplegia
A state, sometimes resulting from a stroke
Hemiplegia
Occurs on opposite side from brain lesion
Hemiplegia
Effects depend on severity and location. Can be temporary or permanent. Can be almost imperceptible to severely debilitating
Hemiplegia
mm on affected side weak/flaccid - acute phase
Hemiplegia immediately post stroke
Uninhibited motor neuron firing = lesions interfere with brains control over SC activity
Flaccid paralysis leading to spastic paralysis
Flexor/extensor pattern can occur with hemiplegia due to what?
Uninhibited dominant reflexes
M/c flexor/extensor pattern hemiplegia
flexor pattern in upper limbs combined with extensor pattern in lower limbs
Patient swings paraplegic leg outward and ahead in circle and carries upper limb across trunk for balance
Hemiplegic gait
Hemiplegic shoulder
GH ADd, IR, scapular retraction
M/c synergy upper limb
Shoulder: IR/ADd
Elbow: Flexion
Forearm: Supination
Wrist: Flexion
Whole series of mm recruited when just a few needed
Synergy
Blood supply to brain/part of brain interrupted
Stroke
3 main stroke types
- Ischemic
- Hemorrhagic
- Transient ischemic attack (lasts less than 24h)
3 main risk factor headings for strokes
- Controllable
- Uncontrollable
- Modifiable risk factors
Sudden numbness/weakness in arm, face, leg (esp. unilaterally)
Stroke warning signs
Sudden confusion with speech or understanding speech
Stroke warning sign
Sudden vision problems
Stroke warning sign
Sudden difficulty walking, dizziness, headache
Stroke warning sign
FAST acronym
Face - sudden numbness
Arm - sudden numb or weak
Speech - difficulty speaking or understanding
Time - Call 911 immediately
Modifiable risk factor associated with Ischemic strokes
Atherosclerosis
Modifiable risk factor associated with Hemorrhagic strokes
BP/hypertension
