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PT 742 Common Medical Conditions > Stroke > Flashcards

Flashcards in Stroke Deck (20)
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1

What's the most common case of long term disability in adults in the US?

Stroke

2

What is a stroke?

Acute onset of neurological dysfunction, secondary to abnormality in cerebral circulation

3

What are they types of CVA?

Ischemic-lack of blood supply
Hemorrhage-abnormal bleading

4

What's a TIA

Temporary interrupted blood supply to the brain.
Permanent damage doesn't happen.

5

What side of the body does a left CVA affect

Right

6

If the stroke is in the Cerebellum will the patient have ipsilateral or contralateral effects?

Ipsilateral

7

Where's the most common place to have a stroke?

Middle cerebral Artery

8

What all can happen with a middle cerebral artery stroke?

Contralateral hemiparesis
Aphasia-Wernicke's and Broca's
Ataxia-drunken sailor gait
Neglect
Agnosia

9

What happens with right CVA?

Left Hemiplegia
Left Sensory loss
Neglect or denial
impaired judgements and reasoning

10

What happens with left CVA?

Right hemiparesis
Right sensory loss
aphasia-Broca's, Wernickes
Memory impairments
Slow,
difficulty showing positive emotions

11

What are common deficits with stroke?

Muscle function/control and activation
Coordination
Changes in muscle tone
Abnormal synergies

12

What is flaccidity?

low muscle tone

13

What can happen with spasticity?

Comes after flaccidity
Restricts movement
Can cause contractures
it happens on hemiparetic side
Clonus-ankle beating

14

What happens in Brunstrom Stage 1?

Period of flaccidity
No movement can occur

15

What happens in Brunstrom Stage 2?

Basic limb synergies or some components may appear
Spacticity starts to develop

16

What happens in Brunstrom Stage 3?

Voluntary movement starts to occur

17

What happens in Brunstrom Stage 4?

Can start to break synergies

18

What happens in Brunstrom Stage 5?

More difficult movement patterns are learned
synergies are lost

19

What happens in Brunstrom Stage 6?

No more spacticity
coordination approaches normal
normal motor function

20

What's the first thing to do with a stroke patient?

Take blood pressure