Stroke - Ch 15

Question 1

ACA

Answer 1

Contralateral hemiparesis and sensory loss with greater involvement of LEs

Question 2

MCA

Answer 2

contralateral spastic hemiaresis and sensory loss of the face, UE and LE
UE and face more involved

Question 3

NIHSS

Answer 3

scale that includes 11 items and uses variable ordinal scale
some items scored 0-2 and some 0-3
LOC, best gaze, visual fields, facial palsy, limb ataxia, sensory, best language, dysarthria, extinction and inattention
0-4: motor arm and leg

Question 4

Brunnstrom stages of recovery

Answer 4

1 = no mvmnt of limbs can be elicited
2 = minimal voluntary movement, spasticity begins
3 = pt gains voluntary control of mvmnt synergies 
4 = movements combinations that don't follow paths of synergy are mastered; spasticity declines
5 = more difficult movement combinations are learned, synergies lose dominance
6 = disappearance of spasticity, individual joint mvmnt become possible and coordination approaches normal

Question 5

Ideational apaxia

Answer 5

inability of the pt to produce movement either on command or automatically

Question 6

Ideomotor apraxia

Answer 6

pt is unable to produce a movement on command but can move automatically

Question 7

PASS

Answer 7

acute stroke
12 items that examine sitting and standing without support, standing on paretic LE, and changing posture… scored with ordinal scale

Question 8

Trunk impairment scale

Answer 8

3 static control
10 dynamic control
4 coordination 
Each item performed 3 times with highest score accepted 
0 = unable, max = 23

Question 9

FIST - function in sitting

Answer 9

14 items static and dynamic balance
Scoring based on 5 point ordinal scale (0 = no balance,)
Max score is 56

Question 10

Pusher syndrome

Answer 10

active pushing with the stronger extremities toward the hemiparetic side

Question 11

Fugl meyer

Answer 11

0 (not able) to 2 (fully performed)
UE max = 66
LE max = 34
balance max = 14

Question 12

STREAM

Answer 12

30 items (UE, LE, basic mobility)
each limb max = 20, basic mobility max = 30 so total the max is 70