stroke assessment
Study online at https://quizlet.com/_7oy4mv
order of testing orientation, activities, impairments
*- Impaired language; formulation & com-
aphasia prehension
*30- 36% of CVAs
*Nonfluent aphasia (Broca's)
Expressive aphasia (Broca's) *“speech flow, production & articulation
*“vocabulary, sentences
*fluent aphasia (Wernicke's)
*“comprehension of spoken language
receptive aphasia *“reading, writing
*Non-sense words, word finding deficits
*Loss nouns & verbs, circumlocutions
both expressive and fluent aphasia; indi-
Global impairment
cates extensive damage
*speech production deficits
*(48-57% of CVAs)
*Can occur with aphasia
Dysarthria
*Incoordination of motor-speech system
*“articulation/phonation
*respiration
*swallowing difficulty
Dysphagia * (51% of CVAs)
*CN V,VII, IX, X, XI, XII
-impaired arousal
-attention deficits
-cognitive deficits
-short term memory loss (36%)
cognitive effects of stroke
-confabulation
-perseveration
-executive and problem solving issues
-multi-infarct dementia (6-32%)
*Hemianopia
visual deficits
*Conjugate eye deviation
*Crossed anesthesia; opp face - limb in-
brainstem strokes
volvement
Central post-stroke pain syndrome
1/6
, stroke assessment
Study online at https://quizlet.com/_7oy4mv
*Lesion anywhere in pathway, medulla &
thalamus
*Debilitating; burning, aching, shooting
pain’ poor use & “ prognosis
*Can be focal (arm/hand) or half of body
*Onset months after CVA but recovery
rare
*flaccidity > spasticity
alterations in tone
typical patterns of distribution
Obligatory synergy > isolated move-
Fractionated movement
ments
Impaired dexterity, coordination, agility *Basilar artery stroke
associated with -Lat. Medullary syndrome
*Deficits in strength, power, endurance
*80-90% pts demo “ force production
*Distal loss > proximal
Musculoskeletal Impairments * weakness ipsilaterally
*Deficits in coordination
*Sensory & cerebellar ataxia
*Deficits in joint integrity and mobility
*Deficits in locomotion, gait
*Deficits in BADLs, IADLs
*increased need/use assistive, adaptive
devices
activity limitations *Bowel / bladder dysfunction / inconti-
nence
*Orofacial dysfunction / dysphagia
*Deficits in aerobic capacity and en-
durance
*Assessment of stroke severity, Progno-
sis
*Administer in acute, subacute stages
Orpington Prognostic Score *Once pt stable- 2 weeks -6 mo post CVA
*Includes measures of:
*Motor deficit
*Proprioception
2/6
Study online at https://quizlet.com/_7oy4mv
order of testing orientation, activities, impairments
*- Impaired language; formulation & com-
aphasia prehension
*30- 36% of CVAs
*Nonfluent aphasia (Broca's)
Expressive aphasia (Broca's) *“speech flow, production & articulation
*“vocabulary, sentences
*fluent aphasia (Wernicke's)
*“comprehension of spoken language
receptive aphasia *“reading, writing
*Non-sense words, word finding deficits
*Loss nouns & verbs, circumlocutions
both expressive and fluent aphasia; indi-
Global impairment
cates extensive damage
*speech production deficits
*(48-57% of CVAs)
*Can occur with aphasia
Dysarthria
*Incoordination of motor-speech system
*“articulation/phonation
*respiration
*swallowing difficulty
Dysphagia * (51% of CVAs)
*CN V,VII, IX, X, XI, XII
-impaired arousal
-attention deficits
-cognitive deficits
-short term memory loss (36%)
cognitive effects of stroke
-confabulation
-perseveration
-executive and problem solving issues
-multi-infarct dementia (6-32%)
*Hemianopia
visual deficits
*Conjugate eye deviation
*Crossed anesthesia; opp face - limb in-
brainstem strokes
volvement
Central post-stroke pain syndrome
1/6
, stroke assessment
Study online at https://quizlet.com/_7oy4mv
*Lesion anywhere in pathway, medulla &
thalamus
*Debilitating; burning, aching, shooting
pain’ poor use & “ prognosis
*Can be focal (arm/hand) or half of body
*Onset months after CVA but recovery
rare
*flaccidity > spasticity
alterations in tone
typical patterns of distribution
Obligatory synergy > isolated move-
Fractionated movement
ments
Impaired dexterity, coordination, agility *Basilar artery stroke
associated with -Lat. Medullary syndrome
*Deficits in strength, power, endurance
*80-90% pts demo “ force production
*Distal loss > proximal
Musculoskeletal Impairments * weakness ipsilaterally
*Deficits in coordination
*Sensory & cerebellar ataxia
*Deficits in joint integrity and mobility
*Deficits in locomotion, gait
*Deficits in BADLs, IADLs
*increased need/use assistive, adaptive
devices
activity limitations *Bowel / bladder dysfunction / inconti-
nence
*Orofacial dysfunction / dysphagia
*Deficits in aerobic capacity and en-
durance
*Assessment of stroke severity, Progno-
sis
*Administer in acute, subacute stages
Orpington Prognostic Score *Once pt stable- 2 weeks -6 mo post CVA
*Includes measures of:
*Motor deficit
*Proprioception
2/6
