Stroke Rehab (Well-enlightened)

Stroke recovery: Anatomy and outcomes correct answers Anatomical influence d/t: -Recovery of ischemic penumbra via reperfusion -Resolution of cerebral edema -Neuroplasticity & rehab Better outcomes with: -Early medical care and intensive multidisciplinary rehab -Small strokes -Specialized stroke care centers Stroke rehab: Prognosis correct answers Majority gain independence with function -Poor predictor for fn: no motor return 4 weeks post (flaccidity) Post-stroke PT goals: Acute (ICU) correct answers -Pt/family edu. -Prevent secondary complications via positioning, splinting -Assess functional abilities -Mgmt. of impairments -Early mobilization at low intensity w/ close monitoring -D/C in 5 days--acute/subacute rehab v. home v. LTC Post-stroke PT goals: Chronic (> 6 mo.) correct answers -Home care -Community/OP rehab -HEP --> Maximize function and enable participation Neurorehab approaches correct answers Contemporary move toward EBP of MC, motor learning, neuroplasticity via variable techniques: -Task-oriented retraining -Motor relearning program -Functional movement re-education -NM re-education Neurorehab process: 4 steps correct answers 1. Task analysis 2. Part task practice 3. Practice whole task 4. Transfer of training Task analysis correct answers Observation of mvmt guides rest of PT eval; components to consider: -Normal v. abnormal--if abnormal, functional or damaging? -Motor activity, timing/coordination -Excessive or inappropriate musc activity -Compensations correct answers Anatomical influence d/t: -Recovery of ischemic penumbra via reperfusion -Resolution of cerebral edema -Neuroplasticity & rehab Better outcomes with: -Early medical care and intensive multidisciplinary rehab -Small strokes -Specialized stroke care centers Stroke rehab: Prognosis correct answers Majority gain independence with function -Poor predictor for fn: no motor return 4 weeks post (flaccidity) Post-stroke PT goals: Acute (ICU) correct answers -Pt/family edu. -Prevent secondary complications via positioning, splinting -Assess functional abilities -Mgmt. of impairments -Early mobilization at low intensity w/ close monitoring -D/C in 5 days--acute/subacute rehab v. home v. LTC Post-stroke PT goals: Chronic (> 6 mo.) correct answers -Home care -Community/OP rehab -HEP --> Maximize function and enable participation Neurorehab approaches correct answers Contemporary move toward EBP of MC, motor learning, neuroplasticity via variable techniques: -Task-oriented retraining -Motor relearning program -Functional movement re-education -NM re-education Neurorehab process: 4 steps correct answers 1. Task analysis 2. Part task practice 3. Practice whole task 4. Transfer of training Task analysis correct answers Observation of mvmt guides rest of PT eval; components to consider: -Normal v. abnormal--if abnormal, functional or damaging? -Motor activity, timing/coordination -Excessive or inappropriate musc activity -Compensations