Motor Impairments
Neurologic weakness due to a stroke stems from a lesion to this type of motor neuron
What is an Upper Motor Neuron?
This is the most common form of vision field loss after a stroke
What is a homonymous hemianopsia?
A patient demonstrates no arousal or awareness, meaning they are in this level of consciousness / rancho los amigos cognitive level
What is coma / Rancho level I?
This artery is the most commonly affected by a stroke and presents with contralateral neurologic weakness UE>LE
What is the MCA?
Your patient presents with knee hyperextension during mid-stance. You should test this muscle group for weakness during your Body F&S exam
What are the plantarflexors?
This type of hypertonia is velocity dependent
What is spasticity?
A patient does not eat the food on the left half of their plate. This is what type of neglect
What is spatial neglect? (also maybe an argument for Sensory neglect)
A Glasgow Coma Scale score of 9-12 is indicative of this level of brain injury
What is a moderate brain injury?
This is the appropriate order of going through the ICF framework when performing a neurological evaluation
Documenting that a sit-stand task took 27 seconds would be part of this aspect of a movement analysis
What is quantitative description?
This type of tremor is most often found in Parkinson disease
What is resting tremor?
A patient cannot tell the difference between the doorbell and their cell phone ring tone. You recognize this as this type of perceptual deficit
What is an auditory agnosia?
You could use this outcome measure to assess cognition in a patient that demonstrates awareness
What is the Montreal Cognitive Assessment (MoCA)?
These outcome measures could be used to assess the participation restrictions of patients that have had a stroke
What are the Stroke Impact Scale and PSFS?
Your patient explains that they sometimes have difficulty walking in the grocery store when they look back and forth between aisles. This outcome measure would be the most appropriate to assess this deficit
What is the Functional Gait Assessment (FGA)?
A patient's UEs are in flexion while the LEs demonstrate extension. This would be considered this type of posturing
What is decorticate posture?
An example of this condition is a patient uses their R UE to push towards the L side of their body due to a feeling of imbalance after they experience a stroke
What is pusher's syndrome? (bonus: what side of the brain would be affected in this case?)
A patient has a difficult time during therapy appointments in a busy gym, leading you to believe they have a deficit with this type of attention
What is selective attention?
These 3 conditions determine if a patient is eligible for IV thrombolitics
This score on the Berg Balance Scale represents the cut-off score for higher fall risk
What is 45/56?
When testing hypertonia, you note a slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM. This would result in you assigning of score of this on the Modified Ashworth Scale.
What is a 1+?
You ask a patient to blow out some birthday candles and they cannot perform the action, despite having adequate muscle and lung function. You recognize this as this type of impairment
What is Ideomotor apraxia?
When testing alertness/orientation, you would ask questions about these different aspects of orientation in this specific order
What is person, place, time, situation?
The BE FAST acronym stands for these sxs of a stroke
What is Balance Loss, Eyesight Changes, Face Drooping, Arm Weakness, Speech Difficulty, and Time to call 911?
These 2 outcome measures have a component that measures reactive postural adjustments