therapeutic consideration for individuals with hemiparesis/ hemiplegia Flashcards
what Can be used to rapidly screen an individual for some common findings associated
with a developing stroke.
BE FAST
what does BE FAST stand for
B- balance
E- eyes
F- Face
A- arm
S- speech
T- time
what are you looking for in balance for BE FAST
look for LOB or coordination loss
what are you checking for in eyes for BE FAST
check for vision changes
what are you looking for in face for BE FAST
look for asymmetries of the facial muscles by asking the person to smile
what do you ask the person to do for the arm section in BE FAST
ask the person o raise both arms simultaneously and see if they respond the same or differently
what is a general slurring and slowing of the speech pattern.
dysarthria
if the stroke is being causes by a blood clot then there is a ___ window to administer some tPA to help dissolve the clot
3 hour
what is the major sequellae of stroke
motor impairments
sensory impairments
visual/perceptual impairments
cognitive/communication impairments
how would you define hypotonia/ flaccidity
muscle tone is generally too low for normal function
how would you define hypertonia/ spasticity
muscle tone is generally too high for normal function
what will abnormal muscle tone result in
impaired joint alignment
muscles to ___ to properly stabilize joints
weak
mm to ___ to allow functional movement
stiff
what is defined as that amount of tone that is sufficient to hold us upright against gravity, but is not so strong as to inhibit selective movements
normal postural tone
These ___ reflexes serve to provide the basis for the movement patterns that progressively show more selective coordination, and less
primitive
primitive movement patterns
the righting reaction serve to provide ____ of the head to the vertical pull of gravity and ____ of the body parts to one another
orientation
alignment
what represent a critical factor in our development as upright individuals and in the development of trunk rotation.
righting reactions
what allow us 1 line of defense against
changes in our postural balance
protective extension reactions
what is protective extension reactions termed in UE and LE
UE- parachute reactions
LE- protective stepping
what acts As an extension of the protective reactions,
these motor skills allow us to maintain our balance by adjusting the location of the CoG within the BoS either by posturally fixating with strong cocontraction of musculature or by making adjustments of the trunk an
equilibrium reactions
Indicate if each statement represents an
impairment of a Righting Reaction (RR), a
Protective Reaction (PR), or an Equilibrium
Reaction (ER)
_____ Client does not extend and abduct weak arm when falling to that side.
_____ Client has difficulty lifting head off the surface in supine.
_____ Client does not move impaired leg forward quickly enough to prevent falling.
_____ Client does not lengthen weight-bearing side of trunk when shifting over to that
side.
_____ Client keeps head rotated away from weaker side.
_____ Client does not increase muscular stability around the proximal joint when
weight is shifted onto one limb.
PR
RR
PR
ER
RR
ER
the loss of selective movement patterns so that voluntary attempts at movement result in ___ ____
atypical synergies
what is predictable movement patterns occurring during volitional attempts atmovement OR as associated reactions. Thus, movements become “stereotypical” and restrictive of normal activities.
atypical synergies
what is the UE flexion synergy that is associated with hemiparestic synergies
scapular
shoulder
elbow
forearm
wrist
-scapular elevation and retraction*
- shoulder abduction and ER
- elbow flexion*
-forearm supination
- wrist and finger flexion *
