CVA

Question 1

what is CVA or stroke

Answer 1

sudden loss of neurological function d/t interruption of BF to brain

neuro deficits for at least 24 hrs

Question 2

RIND can resolve spontaneously _____

Answer 2

when brain swelling subsides - w/in 3 wks

Question 3

stroke is the leading cause of _____ worldwide and ____ cause of death in PH

Answer 3

stroke is the leading cause of disability worldwide and 2nd cause of death in PH

Question 3

TIA

Answer 3

deficit is < 24 hrs

Question 4

general impairments post-stroke

Answer 4

sensation

motor function

postural control and balance

speech, language and swallowing

perception and cognition

emotional status

Question 5

impairments in (L) hemisphere damage

Answer 5

(R) hemiplegia

diff communication and sequential/linear processing

cautious, anxious, disorganized and hesitant

realistic appraisal of prob

Question 6

impairments in (R) hemisphere damage

Answer 6

(L) hemiplegia

diff spatial-perceptual tasks, grasping whole idea

quick and impulsive

overestimates abilities

inc safety bcs poor judgement

more feedback

Question 7

MSK complications

Answer 7

LOM

contractures

atrophy and weakness

Question 8

osteoporosis complications

Answer 8

loss of bone mass per unit volume

from disuse and poor nutrition

Question 9

neurological complications

Answer 9

seizures and hydrocephalus

Question 10

timeline of hyperacute or acute phase

Answer 10

0-24 hrs

Question 11

timeline of early rehabilitation phase

Answer 11

24 hrs to 3 mo.

Question 12

timeline of late rehabilitation phase

Answer 12

3-6 mo.

Question 13

timeline of chronic rehabilitation phase

Answer 13

> 6 mo.

Question 14

problems in hyperacute or acute phase and early rehab phase

Answer 14

orthostatic hypotension

cognitive deficits

contractures

abnormal tone

dep on transfers and ADLs

bed sores

hemiplegia

dec balance and tolerance

Question 15

goals in hyperacute or acute phase and early rehab phase

Answer 15

maintain ROM

prevent
- bed sores
- atrophy
- hemineglect

inc balance and tolerance

get out of bed ASAP

maintain or inc strength

Question 16

interventions in hyperacute or acute phase and early rehab phase

Answer 16

GBREs

proper breathing, pos and turning

ROM ex and light PREs

sitting and standing balance and tolerance

functional training

Question 17

true or false

early mob w/in 24 hrs is recommended

Answer 17

false dapat medically stable muna

Question 18

true or false

admission in ward is usual in stroke pt

Answer 18

false dapat stroke unit

Question 19

once medically stable what is the recommended PT duration

Answer 19

2x day for 45-60 mins

Question 20

problems in late rehab phase

Answer 20

balance prob

incoordination

diff in bed mob and transfers

diff walking

abnormal tone

hemiplegia

tightness and contractures

shoulder subluxation

Question 21

goals in late rehab phase

Answer 21

inc ROM

dec shoulder subluxation

improve bed mob and transfers

inc balance control

inc coordination

inc walking ability

inc strength

Question 22

interventions in late rehab phase

Answer 22

static and dynamic balance training

strength and functional activities

proper bed mob and transfers

ES for muscle re-educ

stretching and flexibility ex

AROM, PNF, coordination ex

gait training

Question 23

true or false

strength has no adverse effect on spasticity

Answer 23

true

Question 24

true or false home based is no as effective in hospital based outpatient

Answer 24

false - equally effective

Question 25

late rehab phase ex duration

Answer 25

45 mins to 3 hrs for 3-5 days per week

Question 26

why is overhead pulley no recommended

Answer 26

inc jamming in shoulder or subluxation

Question 27

NMES guidelines in late rehab phase

Answer 27

NMES for shoulder subluxation but not pain US for pain

Question 28

problems in chronic phase

Answer 28

hemiplegic arm and hemiplegia dep ADLs risk for falls sensory deficits poor endurance postural and gait dev risk for stroke tightness/contractures balance prob

Question 29

goals in chronic phase

Answer 29

inc use of hemiplegic arm inc endurance inc gait inc muscle strength fall prevention correct posture inc indep function attain functional ROM

Question 30

interventions in chronic phase

Answer 30

CIMT stretching and ROM ex strength and functional training postural control strategies fall prevention strats and balance training sensory re-educ gait training pt educ and lifestyle change

Question 31

CIMT is endorsed if

Answer 31

10° active finger ext 20° active wrist ext limited sensory and balance prob intact cognition

Question 32

true or false task-specific training is only indicated for balance training

Answer 32

false- VR can also be used

Question 33

FES guidelines in chronic phase

Answer 33

FES on wrist and forearm to reduce motor impairment and improve functional recovery can improve gait, strength and function but not sustained

Question 34

true or false chronic phase emphasizes on community reintegration

Answer 34

true