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Left CVA
Right side impact, speech, depressed, aware of deficits
Right CVA
Left side impact, Impulsive, can articulate but struggle DOING tasks
Frontal Lobe
Speech (Broca’s), problem solving, high level thinking, emotions/personality
Partietal lobe
Sensory input, Proprioception
Temporal Lobe
(wernicke’s) receptive speech, understanding
Occipital lobe
Visual fields, naming objects (agnosia)
Cerebellum
Movement/motor, coordination, balance
Brainstem
Vital functions (breathing, HR, consciousness)
C1-4
Paralysis in hands, arms, trunk and legs
potential loss of independent breathing
impaired speech
may be able to use power wheelchair with special controls
C5
Raise arms and bend elbows
some/total paralysis of wrists, hands, trunk, legs
can speak and use diaphragm but breathing is weakened
need assistance with most ADLS
Power wheelchair use
C6
Able to extend wrists
Paralysis in hands, trunk, legs
can speak and use diaphragm but breathing is weakened
Transfer with assistive equipment
May be able to drive adaptive car
C7
Elbow extension + some finger extension
Straighten arms and normal shoulder movements
Mostly independent, need assist with difficult ADLS
Drive adaptive car
C8
Some hand movement, Grasp/release objects
Mostly independent, need assist with difficult ADLS
Drive adaptive car
Little/no voluntary control of bladder/bowel (can be independent with special equipment)