Stroke Rehab Exam Considerations
ppt 2 Questions And Answers
what are the 4 principles of stroke rehab
1. effective neurological rehab involves a continuous cycle of deductive and inductive
reasoning
2. the goal of neurological rehab is functional competence
3. functional competence is promoted by basing rehab strategies on embedded models
of motor behavior and neuro rehab
4. functional competence requires motor learning and self efficacy
What are primary motor impairments post stroke
1. abnormal synergy
2. weakness
3. coordination
4. apraxia
5. ataxia
What are primary sensory impairments post stroke
1. visual
2. vestibular
3. somatosensory
What are primary perceptual impairments post stroke
1. hemi-inattention
2. hemiagnosia, hemi-neglect, spatial neglect
What are primary tone impairments post stroke
1. flaccidity
2. spasticity
What are primary cognition impairments post stroke
1. memory
2. attention
3. executive functioning
What are primary communication impairments post stroke
aphasia
What are primary pain impairments post stroke
thalamic pain syndrome
What type of impairments are swallowing, bowel, bladder, and sexual
impairments related to stroke
primary
What are secondary MSK impairments post stroke
1. shoulder subluxation
2. shoulder pain
3. risk for disuse atrophy
, 4. risk for contracture
5. risk for defect
What are secondary integumentary impairments post stroke
1. risk for skin breakdown
2. risk for injury
What are secondary cardiovascular impairments post stroke
1. edema/ poor peripheral circulation
2. fitness inadequate for healthy lifestyle
what are some activity limitations post stroke
1. bed mobility
2. transfers
3. wheel chair mobility
4. standing tolerance
5. ambulation
6. ADL and IADL
7. self management
8. intimacy
What are some pulmonary medical complications associated with stroke
aspiration pneumonia
What are some GI medical complications associated with stroke
UTI
What are some cardiovascular medical complications associated with stroke
DVT
What are some integumentary medical complications associated with stroke
decubiti
What are some psychological medical complications associated with stroke
1. depression
2. isolation
What are some MSK medical complications associated with stroke
1. overuse syndromes
2. tissue trauma
3. fall related injury
what are some key areas to examine in early stroke recovery
1. cognitive, perceptual, behavioral, communication issues
2. stages of motor recovery
3. tone
4. sensory impairments
5. patient self management of the affected extremities
6. physiologic tolerance for activity
7. basic mobility and ADL
how might we examine motor recovery
1. Fugl- Meyer
2. Stroke Rehab Assessment of Movement (STREAM)
3. Postural Assessment Scale for Stroke Patients (PASS)
4.Function in Sitting Test (FIST)
5.Stroke Impact Scale (SIS)
ppt 2 Questions And Answers
what are the 4 principles of stroke rehab
1. effective neurological rehab involves a continuous cycle of deductive and inductive
reasoning
2. the goal of neurological rehab is functional competence
3. functional competence is promoted by basing rehab strategies on embedded models
of motor behavior and neuro rehab
4. functional competence requires motor learning and self efficacy
What are primary motor impairments post stroke
1. abnormal synergy
2. weakness
3. coordination
4. apraxia
5. ataxia
What are primary sensory impairments post stroke
1. visual
2. vestibular
3. somatosensory
What are primary perceptual impairments post stroke
1. hemi-inattention
2. hemiagnosia, hemi-neglect, spatial neglect
What are primary tone impairments post stroke
1. flaccidity
2. spasticity
What are primary cognition impairments post stroke
1. memory
2. attention
3. executive functioning
What are primary communication impairments post stroke
aphasia
What are primary pain impairments post stroke
thalamic pain syndrome
What type of impairments are swallowing, bowel, bladder, and sexual
impairments related to stroke
primary
What are secondary MSK impairments post stroke
1. shoulder subluxation
2. shoulder pain
3. risk for disuse atrophy
, 4. risk for contracture
5. risk for defect
What are secondary integumentary impairments post stroke
1. risk for skin breakdown
2. risk for injury
What are secondary cardiovascular impairments post stroke
1. edema/ poor peripheral circulation
2. fitness inadequate for healthy lifestyle
what are some activity limitations post stroke
1. bed mobility
2. transfers
3. wheel chair mobility
4. standing tolerance
5. ambulation
6. ADL and IADL
7. self management
8. intimacy
What are some pulmonary medical complications associated with stroke
aspiration pneumonia
What are some GI medical complications associated with stroke
UTI
What are some cardiovascular medical complications associated with stroke
DVT
What are some integumentary medical complications associated with stroke
decubiti
What are some psychological medical complications associated with stroke
1. depression
2. isolation
What are some MSK medical complications associated with stroke
1. overuse syndromes
2. tissue trauma
3. fall related injury
what are some key areas to examine in early stroke recovery
1. cognitive, perceptual, behavioral, communication issues
2. stages of motor recovery
3. tone
4. sensory impairments
5. patient self management of the affected extremities
6. physiologic tolerance for activity
7. basic mobility and ADL
how might we examine motor recovery
1. Fugl- Meyer
2. Stroke Rehab Assessment of Movement (STREAM)
3. Postural Assessment Scale for Stroke Patients (PASS)
4.Function in Sitting Test (FIST)
5.Stroke Impact Scale (SIS)
