OT CVA Flashcards
Agnosia
inability to recognize people, objects, and/or shapes
Apraxia
loss of ability to execute or carry out skilled movements and gestures, despite having the desire and ability to perform them
Aphasia
-difficulty of understanding language-
- In expressing wants ideas and thoughts
Anomia
problems recalling words, names, numbers- Type of aphasia
CVA on LEFT (R-hemi)
- Communication problems (aphasia) May include speaking, listening, reading, writing difficulty
- Impaired logic, time awareness, sequencing abilities
- Decreased analytical and mathematical ability (dyscalculia)
- Depression more common
- Cautious; slow performance, Anxious
6.Are more likely to achieve self-care independence earlier
CVA on RIGHT (L-hemi)
- Visual/perceptual deficits
- Difficulty with spatial analysis, shape recognition, face recognition
- Decreased intuition, and music and art awareness
- Neglect of left side
- Distractible, Impulsive behavior, rapid performance of tasks
- Sudden outbursts of emotion (pseudobulbar effects)
7.Lack of insight into their impairments (Anosognosia)
8.May retain good verbal skills
9.Slower to become independent
Fugl-Meyer Assessment of Sensorimotor Recovery After Stroke (FMA)
5 domains, 155 items total
motor function
sensation
balance
joint ROM
joint pain
Brunstromm stages of recovery
0-Flaccidity
1-6- Spasticity
3-spasticity peaks
7-Normal
Ashworth stages of spasticity
0- no increase in tone
4- rigid in flexion/extension
Brain Stem
- depending on the severity of the injury, it can affect both sides of the body.
- Can leave them in a “locked in” state
-HR, breathing, BP affected
Cerebellar stroke
Damage to the cerebellum can cause lack of balance and coordination (Ataxia), can also cause slurring of speech (Dysarthria)
Learned non-use syndrome leads to:
V strength
V ROM
V fine motor skills
Can lead to pain, contractures
**Make sure affected hand is used in all stages
** constraint induced therapy
General goals for CVA
- Prevention of deformity and contracture
- Prevention of injury
- Encourage normal posture and movement
- Maximize AROM, PROM, strength, coordination
- Achieve maximal use of affected side
- Remediate cognitive & perceptual deficits
- Maximal independence in all areas of occupation
- Maximize mobility skills
- Achieve functional communication and social skills
- Facilitate realistic adaptation to residual problems
- Facilitate re-entry into social participation
Typical pattern of stroke arm
Scapular retraction
Shoulder depression and internal rotation
Elbow flexion
Forearm pronation
Wrist flexion
Flexion and adduction of the fingers
Hemiplegic shoulder can lead to?
If not handled properly this can lead to pain syndrome
-Avoid the development of shoulder pain