Stroke Rehabilitation Flashcards
(28 cards)
What is dysphasia?
impairment of language speaking and understanding
What is aphasia?
complete lack of language expression and comprehension
Damage to which region causes expressive dysphasia?
Broca’s area
Damage to which region causes receptive dysphasia?
Wernicke’s area
How does expressive dysphasia manifest?
Understanding is preserved
and the patient tries to convey meaningful responses to the questions asked
however the speak is hesitant and stuttering
How does receptive dysphasia manifest?
speech is fluent and confident
but does not make sense
because the pt does not recognise the errors they are making
In strokes is it common to have receptive or expressive dysphasia?
It is common to have both as they are located close together
Where is Broca’s area located?
Lateral surface
slightly inferior
frontal lobe
Where is Wernicke’s area located?
Posterior areas of
superior temporal gyrus
What is dysarthria?
motor disturbance of speech
How does dysarthria manifest?
Individuals know what they want to say
but cannot get the words out correctly
because of weakness to the tongue or facial muscles
With complete dysarthria what can it then be difficult to differentiate from, but how can you figure out which is occuring?
Aphasia
In dysarthria, comprehension,
reading and
writing should not be affected
What is dysphagia?
abnormality of swallow
How common is dysphagia in the initial period of stroke?
40%
What is a particular risk with dysphagia?
Aspiration pneumonia
How is dysphagia managed?
modification of diet and fluids
SALT assessment and therapy
supplementary feeding (NG/PEG)
oral care
What are the common neurophysiological and emotional features of stoke?
Sensory neglect
Agnosia
Astereognosis
Dyspraxia
Emotionalism
How does sensory neglect manifest post-stoke?
A patient will recognise a stimulus unilaterally.
However when presented with a bilateral stimulus they will not identify a stimulus on the affected side.
What is agnosia?
the inability to familiar recognise objects (by any of the senses, you can have specific types e.g. visual agnosia)
What is astereognosis?
inability to recognise objects by touch
What is dyspraxia?
the inability to perform tasks,
despite having the necessary strength and sensation for example
Give a specific example of dyspraxia
Dressing apraxia (even in the absence of hemiparesis)
What is the underlying issue in dyspraxia?
A problem with processing information
What is emotionalism ?
patient cannot stop themselves from becoming emotional
