Neuro-450

3 arteries involved with CVA

ACA

MCA

PCA

ACA stroke primarily affects what?

LE issues

PCA stroke primarily affects what?

Vision

MCA stroke primarily affects what?

UE and bleeds into vision and lower extremities

most common and most diffuse artery

Both Hemispheres are responsible for what

Contralateral side

• motor

• sensation

• perception and vision

Left Hemisphere is responsible for what?

Language

Praxis

Analytical thinking

3 types of aphashia

Broca’s: can’t speak

Wernicke’s: Can’t understand

Global: Both

• Can still understand intonation/gestures/expressions

What can OT’s do for aphasia?

Help compensate for communication deficits

What is the Right Hemisphere responsible for

Spatial reasoning (left neglect)

Impulsivity, lack of insight, and L sided motor apraxia

Cerebellar stroke causes issues with what?

Coordination and balance

Basal Ganglia stroke causes issues with what?

Issues similar to Parkinsons

Rood Approach for CVA?

Muscle tone addressed with sensory

*Hypersensitive to your Rood tone.”

Brunnstrom Approach for CVA?

Progression following and developmental sequence

Flaccid→ reflexive/synergistic → active movement

care more about success rather than looks

*Strumming guitar in odd way

NDT approach for CVA?

Want everything to be normal

Handling to facilitate normal movement and inhibit abnormal movement

*Normal, Do Touch

PNF approach for CVA?

Facilitation of NMF through prop

active movement to inhibit unwanted tone

D1 and D2

D1 movement looks like what

fastening seat belt

D2 movement looks like what?

sheathing sword

CIMT approach for CVA?

Protocol says 6 hours a day

not applicable if AUE is flaccid and or has no AROM

Order of strengthening for CVA

gravity eliminated → against gravity → Resistive

Cognitive strategies for CVA

mental strategies to improve motor function

e.x. mirror therapy

Bilateral training for CVA

e.x. weight bearing or ‘helper hand’

Sensory strategies for CVA?

First concern is safety

compensatory strategies if protective sensation is lost

Strategies for hemiplegic transfers

Safety is main concern

transfer towards unaffected side

stand on effected side

How to protect shoulder during CVA?

Protract to protect while in supine

Subluxation post CVA overview

Measured by fingers (while Pt is upright)

helped with positioning, tape, slings

DVT during CVA overview

can be fatal

prevented via early mobilization

swollen and warm to touch

notify physician and follow orders

Keyline for CVA?

Where tells us what