STROKE REHABILITATION EXAM
SET |GUARANTEED ACCURATE
ANSWERS
What does stroke recovery result from? - ACCURATE ANSWERS✔✔
Recovery of the ischemic penumbra (restoring blood flow)
Resolution of cerebellar edema
Neuroplasticity and rehabilitation
What are better outcomes of stroke recovery associated with? -
ACCURATE ANSWERS✔✔ Early medical care
Smaller strokes (more focal)
Specialized stroke care centers
Early intensive multidisciplinary rehab (mobility ASAP)
Is stroke recovery the same for all patients? - ACCURATE
ANSWERS✔✔ NO - highly variable
Ex. Hemorrhagic pts tend to not recovery as quickly due to edema then
seem to make major gains at once. Whereas ischemic pts have rapid,
steady rate of gains in first 6 months then plateau
,T/F: Most stroke recovery happens in first 6 months and progress stops
once the stroke is considered chronic - ACCURATE ANSWERS✔✔
True that most stroke recovery occurs in first 6 months however
progress can still be made in chronic stages
What is the prognosis for motor recovery if motor does not return after 4
weeks post stroke? - ACCURATE ANSWERS✔✔ Poor
What are mortality predictors of stroke? - ACCURATE ANSWERS✔✔
History of past CVA, prolonged LOC, dysphagia, aspiration, pneumonia,
age, increased ICP, and size of lesion
What percent of stroke patients will need some level of assistance long
term? - ACCURATE ANSWERS✔✔ 66% (1/3)
Is there a genetic effect on prognosis following a stroke? - ACCURATE
ANSWERS✔✔ Yes - there are genetic polymorphisms related to stroke
recovery (BDNF production)
Goals of stroke care units? - ACCURATE ANSWERS✔✔ Rapid
medical attention
Limit neurologic damage
Optimize medical status
Initiate early rehab/functional mobilization
,Multidisciplinary inpatient units - reduction in mortality rates but only
38% of US hospitals and rehab centers have these units
Who is on the stroke care team? - ACCURATE ANSWERS✔✔ Patient
and family
Physicians (neurologist, cardiologist, surgeon, etc.)
Nurses
PT/OT
SLP
Dietician
Social worker
Neuropsychologists
Respiratory, recreation and vocational therapists
ICU/Acute care goals of post-stroke PT - ACCURATE ANSWERS✔✔
Pt and family education
Prevention of secondary complications
Positioning, splinting
Manage impairments
EARLY MOBILIZATION: low intensity, monitor status closely
Discharge planning (avg acute care stay is 5 days)
, Rehab goals of post-stroke PT - ACCURATE ANSWERS✔✔ Same as
acute care setting but patient will be more stable
Focus on pt and family centered goals
Maximize functional status and independence
Discharge planning with the team - to home, community, work,
recreational activities
Equipment needs (DME, orthotics, splints, slings, gloves)
Chronic phase post-stroke PT goals - ACCURATE ANSWERS✔✔
Chronic (6 months and beyond)
- home care
- community rehab
- outpatient
- home exercise program
Goals are focused on maintaining/continuing to improve ROM, strength,
endurance, balance, functional mobility, independent participation in
recreational and vocational activities
What is the traditional neurorehab approach for post-stroke rehab? -
ACCURATE ANSWERS✔✔ NDT - based on neuromaturational and
hierarchical theories of motor control. Commonly used in practice but
limited evidence to show effectiveness.
SET |GUARANTEED ACCURATE
ANSWERS
What does stroke recovery result from? - ACCURATE ANSWERS✔✔
Recovery of the ischemic penumbra (restoring blood flow)
Resolution of cerebellar edema
Neuroplasticity and rehabilitation
What are better outcomes of stroke recovery associated with? -
ACCURATE ANSWERS✔✔ Early medical care
Smaller strokes (more focal)
Specialized stroke care centers
Early intensive multidisciplinary rehab (mobility ASAP)
Is stroke recovery the same for all patients? - ACCURATE
ANSWERS✔✔ NO - highly variable
Ex. Hemorrhagic pts tend to not recovery as quickly due to edema then
seem to make major gains at once. Whereas ischemic pts have rapid,
steady rate of gains in first 6 months then plateau
,T/F: Most stroke recovery happens in first 6 months and progress stops
once the stroke is considered chronic - ACCURATE ANSWERS✔✔
True that most stroke recovery occurs in first 6 months however
progress can still be made in chronic stages
What is the prognosis for motor recovery if motor does not return after 4
weeks post stroke? - ACCURATE ANSWERS✔✔ Poor
What are mortality predictors of stroke? - ACCURATE ANSWERS✔✔
History of past CVA, prolonged LOC, dysphagia, aspiration, pneumonia,
age, increased ICP, and size of lesion
What percent of stroke patients will need some level of assistance long
term? - ACCURATE ANSWERS✔✔ 66% (1/3)
Is there a genetic effect on prognosis following a stroke? - ACCURATE
ANSWERS✔✔ Yes - there are genetic polymorphisms related to stroke
recovery (BDNF production)
Goals of stroke care units? - ACCURATE ANSWERS✔✔ Rapid
medical attention
Limit neurologic damage
Optimize medical status
Initiate early rehab/functional mobilization
,Multidisciplinary inpatient units - reduction in mortality rates but only
38% of US hospitals and rehab centers have these units
Who is on the stroke care team? - ACCURATE ANSWERS✔✔ Patient
and family
Physicians (neurologist, cardiologist, surgeon, etc.)
Nurses
PT/OT
SLP
Dietician
Social worker
Neuropsychologists
Respiratory, recreation and vocational therapists
ICU/Acute care goals of post-stroke PT - ACCURATE ANSWERS✔✔
Pt and family education
Prevention of secondary complications
Positioning, splinting
Manage impairments
EARLY MOBILIZATION: low intensity, monitor status closely
Discharge planning (avg acute care stay is 5 days)
, Rehab goals of post-stroke PT - ACCURATE ANSWERS✔✔ Same as
acute care setting but patient will be more stable
Focus on pt and family centered goals
Maximize functional status and independence
Discharge planning with the team - to home, community, work,
recreational activities
Equipment needs (DME, orthotics, splints, slings, gloves)
Chronic phase post-stroke PT goals - ACCURATE ANSWERS✔✔
Chronic (6 months and beyond)
- home care
- community rehab
- outpatient
- home exercise program
Goals are focused on maintaining/continuing to improve ROM, strength,
endurance, balance, functional mobility, independent participation in
recreational and vocational activities
What is the traditional neurorehab approach for post-stroke rehab? -
ACCURATE ANSWERS✔✔ NDT - based on neuromaturational and
hierarchical theories of motor control. Commonly used in practice but
limited evidence to show effectiveness.
