stroke rehabilitation

Question 1

Focus of PT

Answer 1

on mvmt and body structure and function impairments that are leading to mvmt dysfunction

Question 2

Common activitiy limitations addressed:

Answer 2

gait, wheelchair mobility, transfers, bed mobility, stairs

Question 3

common body structure/impairments

Answer 3

ROM, motor function, including strength, endurance, and coordination

Question 4

occupational therapy focus on

Answer 4

focuses on improving a patients ability to perform his daily occupations: motor function, ROM, cognition

Question 5

common activity limitations OT focus on

Answer 5

bathing, eating, grooming, dressing, hygiene

Question 6

focus of Speech/language pathologist

Answer 6

communication and impairments that lead to communication problems and swallowing problems

Question 7

SP impairments focused on

Answer 7

aphasia (receptive and expressive), dysarthria, dysphagia

Question 8

SP activity limitations addressed

Answer 8

speech, understanding language, eat/swallow, reasoning, behavior

Question 9

physical medicine & rehabilitation

Answer 9

Physiatrist - subspecialtiy MD/DO degree - stroke, MS, MSK, spinal cord injury .. susceptible to UTI

Question 10

neuromuscular complications post stroke

Answer 10

visual field cut, hemiparesis, ataxia, dysphagia, aphasia, fatigue, spasticity

Question 11

mental health complications post stroke

Answer 11

depression, vascular dementia, emotional lability,

Question 12

musculoskeletal

Answer 12

contractures, disuse atrophy, pain etc

Question 13

GI complications

Answer 13

bladder incontinence, dysphagia to aspiration, bowel incontinence

Question 14

global aphasia

Answer 14

most severe form, can produce few words but understand little to no language. cannot read or write

Question 15

brocas aphasia

Answer 15

short utterances less than 4 words .. be able to understand and read but writing difficult

Question 16

Wernicke aphasia

Answer 16

speaking is easy but being able to organize sentences or correct words is impaired, readiing and writing also impaired

Question 17

integumentary complications

Answer 17

skin breakdown (secondary to incontinence)

Question 18

cardiovascular complications

Answer 18

dvt or pe

Question 19

examples of top 10 comorbidities of pts with stroke

Answer 19

HTN, CVD, dysplipidemia, ischemic heart dz, diabetes, fluid and electrolyte disorders, atrial fibrillation, COPD, anemia, hypothyroidism

Question 20

discharge for mild deficiet pt?

Answer 20

home health and outpt therapy

Question 21

discharge for severe deficits?

Answer 21

inpt. rehab hospitaltion or skilled nursing facility

Question 22

discharge for no deficits?

Answer 22

no follow up OT PT speech

Question 23

homonymous hemianopsia

Answer 23

aka visual field out

Question 24

degree of neglect

Answer 24

cannot pay attention to a specific side of visual field - parietal lobe lesion (usually its a L neglect)