Prognosis
T or F. The top two predictors of stroke prognosis are: age and initial severity.
True
A pt has difficulty with rapid alternating movements while performing neurologic testing.The BEST term to describe this:
Dysdiadokinesis
Your pt. has a R CVA. Is it LIKELY or UNLIKELY that this pt. is experiencing aphasia?
unlikely
T or F. in general prognosis for UE recovery is poor.
True
Name a participation based outcome measure specifically for stroke:
Stroke impact scale
Stroke specific quality of like
Name an example of priming (include time):
Biking, walking, HR up! (greater than 10min)
Besides age and initial severity, name two other prognosis factors.
Gender (F)
Increased comorbidities
Type of stroke
Size and site of stroke
Laterality (R. side has lower functional recovery)
1st stroke or recurrent
Global stroke severity vs impairment specific severity
Depression, Anxiety, Apathy, Cognition, Aphasia, Unilateral spatial neglect, Incontinence
What is Constraint Induced Movement Therapy(CIMT)?
How long does it need to be worn a day (hint: under 10hrs)?
Name one thing it targets in the chronic phase (motor function, dexterity, ADLs, spasticity, proprioception, muscle strength)?
constraint on the less affected limb.
Keep on the >6hrs/day. Good motor function, ADLs, and Muscle strength.
A patient presents to the inpatient rehabilitation unit who has suffered a vertebro-basilar CVA and has difficulty adducting and depressing his eyes during your H pattern testing. Which cranial nerve is the MOST likely cause of this impairment?
I, II, III, or IV
IV