Term
| What is the goal of stroke rehabilitation? |
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Definition
| To return maximum recovery of physical, cognitive, and psychological function, optimizing independence, quality of life, and dignity. |
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Term
| Physical, cognitive, and psychological function are important elements in: |
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Definition
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Term
| What aspect of the interdisciplinary stroke team handles speech, language, cognitive assessments, and swallow evaluation? |
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Definition
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Term
| Who on the stroke team handles dysphagia? |
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Definition
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Term
| In a stroke causing hemiparesis, what do we typically see on day 1 or day 2? |
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Definition
| Decreased voluntary movement and muscle stretch reflexes |
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Term
| When do we first see decreased voluntary movement and muscle stretch reflexes in a hemiparesis stroke? |
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Definition
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Term
| When do muscle stretch reflexes INCREASE after stroke? |
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Definition
| 48 hours- only on affected side |
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Term
| When do we first see spasticity and/or clonus after a stroke? |
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Definition
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Term
| When does a stroke victim start to exhibit increased voluntary movement and decreased spasticity? |
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Definition
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Term
| How does motor control return to the limbs after stroke? |
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Definition
| Lower extremity recovers before upper extremity? |
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Term
| How does motor control after stroke return distal relative to proximal? |
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Definition
| Motor control returns proximally first, then distal |
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Term
| What is the last thing to recover after a stroke? |
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Definition
| The hand, usually around 6 months |
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Term
| What does complete paralysis of the arm at onset of stroke correlate to? |
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Definition
| Poor prognosis for useful hand function |
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Term
| What are the 3 types of ischemic strokes and their relative incidences? |
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Definition
Thrombotic- 35%
Embolic- 30%
Lacunar- 20% |
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Term
| What are some aspects of thrombotic stroke? |
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Definition
| Large arteries, during sleep, rare to lose consciousness, gradual onset |
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Term
| What are the arteries typically involved in thrombotic strokes? |
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Definition
| Internal carotid, anterior cerebral, middle cerebral, posterior cerebral, basilar artery |
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Term
| What are some aspects of embolic strokes? |
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Definition
| They are abrupt, the patient is awake, seizures are possible, most commonly due to a cardiac source |
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Term
| What are the cardiac sources of embolic strokes? |
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Definition
| Atrial Fibrillation, Cardiac Catheterization, Endocarditis |
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Term
| What are some aspects of Lacunar strokes? |
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Definition
| They are gradual and abrupt, usually small, usually purely motor or sensory |
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Term
| What are some areas affected by lacunar strokes? |
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Definition
| Putamen, Internal Capsule, Pons, Thalamus, Caudate |
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Term
| What is a major risk factor for lacunar strokes? |
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Definition
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Term
| Which is more common, ischemic or hemorrhagic strokes? |
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Definition
Ischemic (85%)
Hemorrhagic (15%) |
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Term
| What are the 2 types of hemorrhagic strokes and their relative incidence? |
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Definition
Intracerebral (10%)
Subarachnoid (5%) |
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Term
| Describe the presentation of intracerebral hemorrhagic strokes: |
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Definition
| In the setting of chronic hypertension- sudden heart attack, loss of consciousness, nuchal rigidity, vomiting, seizures |
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Term
| Describe the presentation of subarachnoid hemorrhagic strokes: |
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Definition
Berry aneurysms at the Circle of Willis
Active people from 50-60 yo
Sentinal Headache, followed by WORST HEADACHE OF MY LIFE |
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Term
| What non-pharmacological methods do physmedrehab docs use to help control spasticity after stroke? |
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Definition
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Term
| What is the role of orthotics post-stroke as related to upper motor neuron lesions? |
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Definition
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