class 3: stroke

Question 1

what is a ischemic stroke

Answer 1

Occurs when a clot blocks or
impairs blood flow, depriving the
brain of essential oxygen and
nutrients

Question 2

what is a Hemorrhagic Stroke

Answer 2

Occurs when blood vessels rupture,
causing leakage of blood in or
around the brain

Question 3

Right Hemisphere - press

Answer 3

Left hemiparesis/hemisensory loss

Question 4

RH - impairments

Answer 4

left hemi

left side neglect

dysarthria

poor decision making

flat effect

anosongosia - unaware of deficits

asomatogonsia - loss of ownership of one side of the body

Question 5

LH - impairments

Answer 5

right hemi

right homo hemi

dysarthria - hard time speaking

aphasia (lang)

apraxia

Question 6

what is the most common type of stroke

Answer 6

MCA

Question 7

what type of stroke has worse outcomes hemorragic or ischemic

Answer 7

hemmoragic

Question 8

MCA serves what part of the brain

Answer 8

motor

sensory

speech

cog

the lateral/outer part of the brain

Question 9

sym of PCA stroke

Answer 9

• Contralateral homonymous hemianopsia
• Visual agnosia
• Prosopagnosia (difficulty naming people on sight)
• Dyslexia (difficulty reading) without agraphia (difficulty writing), color naming (anomia), and color discrimination problems
• Memory defect
• Topographic disorientation

Question 10

sym of ACA stroke

Answer 10

logical thought

personality

contralateral voluntary movement

LE motor and sesnsory loss > UE loss

mutism

urinary incontinence

(baby or kid)

Question 11

what does a neg babinski look like

Answer 11

toes pointing down

Question 12

Spasticity Pattern in Upper Extremity - scapula

Answer 12

Retraction, downward rotation

Question 13

Spasticity Pattern in Upper Extremity - shoulder

Answer 13

add
depression
IR

Question 14

Spasticity Pattern in Upper Extremity - elb

Answer 14

Flexion

Question 15

Spasticity Pattern in Upper Extremity - forearm

Answer 15

Pronation

Question 16

Spasticity Pattern in Upper Extremity - wrist

Answer 16

Flexion, adduction

Question 17

Spasticity Pattern in Upper Extremity - hand

Answer 17

Finger flexion, clenched fist thumb, adducted in

palm

Question 18

Spasticity Pattern in Lower Extremity - pelvis

Answer 18

Retraction (hip hiking)

Question 19

Spasticity Pattern in Lower Extremity - hip

Answer 19

• Adduction (scissoring)
• IR
• Extension

Question 20

Spasticity Pattern in Lower Extremity - knee

Answer 20

Extension

Question 21

Spasticity Pattern in Lower Extremity - foot and ankle

Answer 21

• Plantarflexion
• Inversion
• Equinovarus
• Toes claw (tarsometatarsal extension, metatarsophalangeal flexion)
• Toes curl (tarso- and metatarsophalangeal flexion)

Question 22

Upper Extremity - flexion syngery

Answer 22

• Scapula retraction/elevation or
  hyperextension
• Shoulder abduction, external
  rotation
• Elbow flexion
• Wrist and finger flexion

Question 23

UE - EXTENSION SYNERGY

Answer 23

• Scapular protraction
• Shoulder adduction, IR
• Elbow extension
• Forearm pronation
• Wrist and finger flexion

Question 24

ACA serves what part of the brain

Answer 24

medial part of the brain

Question 25

PCA serve what part of the brain

Answer 25

posterior brain

Question 26

LE - flexor syngery

Answer 26

* Hip flexion, abduction, ER * Knee flexion * Ankle DF, inversion * Toe DF

Question 27

LE - extensor syndergy

Answer 27

* Hip extension, adduction, IR * Knee extension * Ankle PF, inversion * Toe PF

Question 28

what motor impact does a MCA stroke have

Answer 28

effects more of the UE and face then the LE

Question 29

what is broca's aphasia

Answer 29

when the person has a hard time expressing lang expressive aphasia

Question 30

what is wernickes aphasia

Answer 30

when a person cannot understand language - word salad receptive aphasia

Question 31

what is global aphasia

Answer 31

characterized by the complete inability either to speak or to understand language, and is typically associated with large lesions of the main hemp

Question 32

is homo hemi normally seen in right or left MCA stoke

Answer 32

it can be seen with either

Question 33

is someone has a right sided MCA would theyhave r or l homo hemi

Answer 33

L

Question 33

what does home hemi mean

Answer 33

L or R visual field is blocked

Question 33

what is visual agnosia

Answer 33

a neurological disorder that makes it difficult to recognize objects using sight

Question 34

central territory with PCA stroke - what structure is affected

Answer 34

thalamus thalamic pain syndrome

Question 35

what is propagnosia

Answer 35

inability to recognize faces

Question 36

what is thalamic pain syndrome

Answer 36

a chronic pain condition that's caused by damage to the thalamus, a part of the brain that relays sensory information Pain that feels burning, scalding, tearing, or shooting Pain that's constant or intermittent Pain that's associated with temperature changes Pain that lasts longer than the original stimulus Sensory abnormalities, like allodynia and hyperalgesia

Question 37

is tone check with passive or activte ROM

Answer 37

passive

Question 38

is spatsity checked with passive or active ROM

Answer 38

passive

Question 39

is syngery check with passive ROM or active

Answer 39

active ask the patient to move rhyms with energy and you need energy to do AROM

Question 40

Brunnstrom Stages - how many stages

Answer 40

7

Question 41

Brunnstrom Stages 1

Answer 41

Flaccidity No active limb movement

Question 42

Brunnstrom Stages 2

Answer 42

Beginning of minimal voluntary movement * In synergy, with associated reactions * Increase tone

Question 43

Brunnstrom Stages 3

Answer 43

Voluntary control of movement synergy (Spasticity at peak) * Further increase tone to peak level

Question 44

Brunnstrom Stages 4

Answer 44

Movement outside of synergy * Decrease tone

Question 45

Brunnstrom Stages 5

Answer 45

Increase complex movement, greater independence from limb synergies

Question 46

Brunnstrom Stages 6

Answer 46

Individual joint movement, coordinated movement

Question 47

Brunnstrom Stages 7

Answer 47

Normal function

Question 48

how to rememeber spascity -UE

Answer 48

rainbow

Question 49

how to remember spatcity LE

Answer 49

ballariena pose

Question 50

what is the best treatment for spascity

Answer 50

positioning place the pt in the opposite of spastic moment

Question 51

UE - flexion synergy how to remember

Answer 51

monkey showing biceps

Question 52

LE - flexion synergy how to remember

Answer 52

crossed leg

Question 53

UE - ext synergy how to remember

Answer 53

waiter tip

Question 54

LE - ext synergy how to remember

Answer 54

ballarein