2025 |GUARANTEED ACCURATE
ANSWERS
Stroke rehab is guided by integrated framework of clinical reasoning -
ACCURATE ANSWERS✔✔ -guide to PT practice
-ICF provides enablement language and structure for organizing info
-strokeedge task force examination recommendations (recommended
outcome measures for stroke population)
-synthesized evidence
ICF model - ACCURATE ANSWERS✔✔ great framework to use in
practice when collecting data
-helps w/ clinical reasoning and decision making
Approaches to PT interventions - ACCURATE ANSWERS✔✔ 1.
Restorative
2. Preventative
3. Compensatory
Restorative PT interventions - ACCURATE ANSWERS✔✔ aimed at
improving impairments, activity limitations and participation
,*helpful for someone to have recovery because taps into neuroplasticity
and motor learning
Start w/ restorative approach to - ACCURATE ANSWERS✔✔ improve
their impairments like strength and balance
Ex. Strengthen ankle dfs
Stroke/neuro insult then get more sleep - ACCURATE ANSWERS✔✔
better outcomes due to enhanced motor learning
Preventative PT interventions - ACCURATE ANSWERS✔✔ aimed at
minimizing potential complications and indirect impairments
-prevent loss of ROM post-stroke
-prevent foot drop/contractures via resting foot splint in bed
Compensatory PT interventions - ACCURATE ANSWERS✔✔ aimed at
modifying the task, activity, or environment to improve function
Ex. Using ankle/foot orthoses (AFO)
Stroke recovery results from - ACCURATE ANSWERS✔✔ -recovery
of ischemic penumbra
-resolution of cerebral edema
-neuroplasticity and rehabilitation
, Penumbra - ACCURATE ANSWERS✔✔ viable tissue if given oxygen
for increased function
*as swelling decreases there is less pressure on other structures so brain
is able to function
Enhance neuroplasticity - ACCURATE ANSWERS✔✔ high reps and
high intensity
*parts of brain taking on new responsibilities
Better outcomes associated w/ - ACCURATE ANSWERS✔✔ -early
medical care
-smaller strokes
-specialized stroke care centers (ex. Spaulding charlestown)
-early, intensive multidisciplinary rehab approach
Specialized stroke care centers - ACCURATE ANSWERS✔✔ -38% of
US hospitals and rehab centers
-reduction in mortality rates
-1 yr post stroke: lower mortality rates, more functional independence
and more likely to be living at home
Recovery patterns - ACCURATE ANSWERS✔✔ variable- depends on
part of brain affected and type of stroke (stroke in evolution versus
complete stroke)