USAHS Neuro Competency
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Hemisensory loss
Eye movement problems
PCA- Posterior Cerebral Artery Description Cortical blindness (loss of vision)
Homonymous hemianopia (visual field loss deficit)
Visual agnosia (inability to recognize objects by sight)q
Body functions: visual functions (visual field, oculomotor
functions, acuity), touch functions (numbness), pain
PCA Performance skills/ Client factors affected
Performance skills: process skills (search/locate), motor
skills related to movement of the eye
PCA Occupations Impacted bathing, dressing, personal hygiene, driving, work
Visual pursuit/ tracking: we would see they would have
problems moving their eyes
Visual agnosia: We would see they would not be able to
PCA Screenings recognize an object
Proprioception or light touch: We would see hemisensory
loss
Can also do quick motor or cognitive screening
ophthalmologist, social work/ psych, stroke support
PCA Referrals
group
-Contralateral homonymous hemianopia
-Contralateral hemiplegia & hemisensory loss
Upper limb and face are more affected than lower limb
because neurons regulating movement and processing
conscious sensation of the upper body are located in the
MCA- Middle Cerebral Artery Description lateral cerebral cortex
Loss of blood supply to deep branches may result in con-
tralateral hemiplegia that affects upper and lower extrem-
ities equally
-L MCA/ Left Hemisphere:
Language deficits (aphasia)
, USAHS Neuro Competency
Study online at https://quizlet.com/_exb7ez
-R MCA/ Right Hemisphere:
Impaired spatial relationships
Apraxia = inability to coordinate or perform movements
when asked
Impaired nonverbal communication
Neglect
Body functions: visual functions (visual field deficit), move-
ment functions (motor loss on one side, gait pattern, con-
trol of voluntary movement, muscle power, endurance),
MCA Performance Skills/ Client factors Affected proprioceptive functions (spatial awareness)
Performance skills: process skills (reaching in UE), motor
skills, social interaction skills, communication skills if L
MCA, proprioception (spatial awareness) if R MCA
bathing, dressing, personal hygiene, social participation,
MCA Occupations Impacted
work, education, meal preparation
Aphasia screen (do command then ask question) for L
MCA: show us if they have aphasia or difficulty speaking
Unilateral neglect (fold piece of paper) or apraxia test (ask
them to perform movement) for R MCA: show us if they
MCA Screenings have neglect or apraxia
Vision: visual field test
Light touch on contralateral side in face or UE: show us if
they have positive signs for hemisensory loss
Motor screening in face (you could test for CN 7)
MCA Referrals Speech, PT, psych/ social work, stroke support group
ACA- Anterior Cerebral Artery Description
Study online at https://quizlet.com/_exb7ez
Hemisensory loss
Eye movement problems
PCA- Posterior Cerebral Artery Description Cortical blindness (loss of vision)
Homonymous hemianopia (visual field loss deficit)
Visual agnosia (inability to recognize objects by sight)q
Body functions: visual functions (visual field, oculomotor
functions, acuity), touch functions (numbness), pain
PCA Performance skills/ Client factors affected
Performance skills: process skills (search/locate), motor
skills related to movement of the eye
PCA Occupations Impacted bathing, dressing, personal hygiene, driving, work
Visual pursuit/ tracking: we would see they would have
problems moving their eyes
Visual agnosia: We would see they would not be able to
PCA Screenings recognize an object
Proprioception or light touch: We would see hemisensory
loss
Can also do quick motor or cognitive screening
ophthalmologist, social work/ psych, stroke support
PCA Referrals
group
-Contralateral homonymous hemianopia
-Contralateral hemiplegia & hemisensory loss
Upper limb and face are more affected than lower limb
because neurons regulating movement and processing
conscious sensation of the upper body are located in the
MCA- Middle Cerebral Artery Description lateral cerebral cortex
Loss of blood supply to deep branches may result in con-
tralateral hemiplegia that affects upper and lower extrem-
ities equally
-L MCA/ Left Hemisphere:
Language deficits (aphasia)
, USAHS Neuro Competency
Study online at https://quizlet.com/_exb7ez
-R MCA/ Right Hemisphere:
Impaired spatial relationships
Apraxia = inability to coordinate or perform movements
when asked
Impaired nonverbal communication
Neglect
Body functions: visual functions (visual field deficit), move-
ment functions (motor loss on one side, gait pattern, con-
trol of voluntary movement, muscle power, endurance),
MCA Performance Skills/ Client factors Affected proprioceptive functions (spatial awareness)
Performance skills: process skills (reaching in UE), motor
skills, social interaction skills, communication skills if L
MCA, proprioception (spatial awareness) if R MCA
bathing, dressing, personal hygiene, social participation,
MCA Occupations Impacted
work, education, meal preparation
Aphasia screen (do command then ask question) for L
MCA: show us if they have aphasia or difficulty speaking
Unilateral neglect (fold piece of paper) or apraxia test (ask
them to perform movement) for R MCA: show us if they
MCA Screenings have neglect or apraxia
Vision: visual field test
Light touch on contralateral side in face or UE: show us if
they have positive signs for hemisensory loss
Motor screening in face (you could test for CN 7)
MCA Referrals Speech, PT, psych/ social work, stroke support group
ACA- Anterior Cerebral Artery Description
