CVA intro/syndromes Flashcards
CVA special considerations
DBP under 110
DVT: 30-75% after stroke.
Respiratory Insufficiency: >90%.
Common Problems post-CVA
Seizures: 10% after ischemic, 34% after hemorrhagic.
Visuospatial and perceptual disturbances.
Compensatory strategies: thicken liquids, chin tuck during swallow, small sips.
TreatmentL VitalSTIM NMES, biofeedback c mirror, posture/environment set up.
Generally treated by SLP, but must know whether you can give pt water.
The inability to recognize familiar objects using one or more of the sensory modalities, while often retaining the ability to recognize the same object using other sensory modalities
the severe denial, neglect, and lack of awareness of the presence or severity of one’s deficits
Muscle dysfunction leads to impaired verbal communication.
May affect: respiration, phonation, articulation, resonance.
Treatment: tongue and oral-motor exercises, functional speaking practice, posture.
DOMINANT hemisphere injury
Impairs the expression and/or understanding of language.
Expressive aphasia-may or may not be able to write it down.
Know what to say, cant get it out, may be able to piece together meaning.
Receptive aphasia: cant understand questions-can check understanding by seeing if pt can follow commands.
Hemiplegia: lack of movement on one side of body.
Hemi-neglect: test with double simultaneous stimulation: may not recognize own are-treat with forced WB.
Severe spasticity: not common immediately post stroke (usually 3 mo-1 yr post stroke).
Mild form: dyspraxia.
Loss of abilityo execute or carry out skilled movements and gestures despite having desire and physical ability to perfrom them.
Parietal lobe injury.
Buccofacial or Orofacial apraxia
Inability to carry out facial movements on command.
ex: pt cannot blow on command, but if given bubble wand, they can spontaneously blow
inability to make fine, precise movements with an arm or leg
inability to make proper movement in response to a verbal command.
Ex: pt cannot walk if requested, but if asked to get something on other side of room, the will go get it.
Inability to coordinate activities with multiple sequential movements.
ex: dressing, bathing, eatin