WEEK 3 STROKE REHAB

Question 1

What might a left middle cerebral artery stroke present with?

Answer 1

right hemianopia or neglect
right hemiplegia
left right disorientation
apraxia
impaired verbal memory
impaired speech

Question 2

What might a right middle cerebral artery stroke present with?

Answer 2

Anosognosia
spatial and visual memory difficulties
Left sided neglect or hemianopia

Question 3

What are some examples of assessments for executive function?

Answer 3

Behavioural assessment of dysexecutive function (BADS), six subtests and a 20 item questionnaire. The subtests are the Rule Shift Cards Test, Action Program Test, Key Search Test, Temporal Judgment Test, Zoo Map Test, and Modified Six Elements Test.

Trail making tests

Delis-Kaplan Executive functioning system. (consists of 9 subtests)
trail making, verbal fluency, design fluency, colour-world interference, sorting test, 20 questions test, word context, tower test, proverb test

Question 4

What are some examples of interventions for executive function?

Answer 4

Compensatory techniques: mental checklist, goal management training
Goal setting and feedback
External strategies (checklists, reminders)

Question 5

What are the processes inherent in memory?

Answer 5

Attention
Encoding
Storage
Retrieval

Question 6

Types of memory

Answer 6

Explicit (declarative): conscious, intentional recall of info from past. includes semantic (facts/general knowledge) and episodic memory (events from personal past)

Implicit (non-declarative memory): unconscious retention of information or skills. Includes procedural (hoe to play piano), priming ( stimulus prompts recollection of related stimulus, ie exposure to word yellow leads to faster recognition of word banana presented after)
classical conditioning (learned association between two stimuli)

Question 7

List types of memory assessments and interventions

Answer 7

Wechsler memory scales, rivermead behavioural memory test

Interventions: spaced retrieval, deep encoding, errorless learning
External aids like electronic reminders

Question 8

Difference between ideomotor and ideational apraxia

Answer 8

Ideational: difficulty in conceptualisation and planning

Ideomotor: difficulties in executing despite being able to conceptualise or plan

Can be tested using TULA (test of upper limb apraxia)