STROKE REHABILITATION
QUESTIONS AND PROVEN ANSWERS
How is a right hemisphere disorder characterized? ANSW✅✅o Insensitivity to others and pre-
occupied with self
o Unawareness of or inattentive to physical or mental limitations
o Verbose, tangential, and rambling speech
o Insensitive to the meaning of abstract or implied material
o Inability to grasp the overall significance or meaning of complex events
o Lack of emotional affect
o Difficulty maintaining attention
What test is good for pt's lacking focused attention? ANSW✅✅Brief Test of Attention (BTA)
- instructions: listen to progressively longer alphanumeric strings and keep track of only the numbers
or letters or numbers, filtering out the other
What deficit is prevalent in those taking the Brief Test of Attention (BTA)? ANSW✅✅progression
to open environment may be delayed
What tests are good for pt's lacking sustained attention? ANSW✅✅Backward Digit Span - listen to
progressively longer digit strings and repeat the same number in reverse order
Trail Making - connect encircled numbers in order using pencil
What test is good for pt's lacking selective attention? ANSW✅✅Stroop Interference Test - state
colors of the word as quickly as you can
What test is good for pt's lacking alternating attention? ANSW✅✅Trail Making B - connect 25
encircled numbers and letters in alternating order using a pencil (deficit: more than 273 seconds)
What is the highest level of attention? ANSW✅✅divided attention - · refers to the ability to
respond simultaneously to multiple tasks or multiple task demands
, What test is good for pt's lacking divided attention? ANSW✅✅Paced Auditory Serial Addition Test
- listen to string of numbers and add consecutive numbers as they are presented (dual tasking)
What is agnosia? ANSW✅✅inability to interpret sensations and hence to recognize things,
typically as a result of brain damage; from Greek "ignorance" or "without knowledge"
What part of the brain is severed in those with agnosia? ANSW✅✅corpus callosum
What is impaired in those with frontal lobe dysfunctions? ANSW✅✅insight for social judgemetn,
impulse control, problem solving
What is impaired in those with temporal lobe dysfunctions? ANSW✅✅insight for memory and
language functions
What is impaired in those with parietal lobe dysfunctions? ANSW✅✅insight for hemiparesis,
neglect
What is impaired in those with occipial lobe dysfunctions? ANSW✅✅cortical blindness, insight for
object recognition
When is depression increased/decreased in terms of pt awareness levels? ANSW✅✅decrease:
impaired awareness (R hemisphere lesion)
increase: with intact awareness (L hemisphere lesion)
What is anosognosia? ANSW✅✅denial in illness
- deny existence of major disabilities such as paralysis, sensory loss, and visual field blindness; some
even deny ownership of affected limb
- claim to be able to do things that are obviously out of their realm of physical ability
in pt's with anosognosia, how would someone with L hemiplegia describe their weakness?
ANSW✅✅someone with severe L hemiplegia claims that arm and leg are just a "little weak" and
only give him problems when he attempts to use stairs
QUESTIONS AND PROVEN ANSWERS
How is a right hemisphere disorder characterized? ANSW✅✅o Insensitivity to others and pre-
occupied with self
o Unawareness of or inattentive to physical or mental limitations
o Verbose, tangential, and rambling speech
o Insensitive to the meaning of abstract or implied material
o Inability to grasp the overall significance or meaning of complex events
o Lack of emotional affect
o Difficulty maintaining attention
What test is good for pt's lacking focused attention? ANSW✅✅Brief Test of Attention (BTA)
- instructions: listen to progressively longer alphanumeric strings and keep track of only the numbers
or letters or numbers, filtering out the other
What deficit is prevalent in those taking the Brief Test of Attention (BTA)? ANSW✅✅progression
to open environment may be delayed
What tests are good for pt's lacking sustained attention? ANSW✅✅Backward Digit Span - listen to
progressively longer digit strings and repeat the same number in reverse order
Trail Making - connect encircled numbers in order using pencil
What test is good for pt's lacking selective attention? ANSW✅✅Stroop Interference Test - state
colors of the word as quickly as you can
What test is good for pt's lacking alternating attention? ANSW✅✅Trail Making B - connect 25
encircled numbers and letters in alternating order using a pencil (deficit: more than 273 seconds)
What is the highest level of attention? ANSW✅✅divided attention - · refers to the ability to
respond simultaneously to multiple tasks or multiple task demands
, What test is good for pt's lacking divided attention? ANSW✅✅Paced Auditory Serial Addition Test
- listen to string of numbers and add consecutive numbers as they are presented (dual tasking)
What is agnosia? ANSW✅✅inability to interpret sensations and hence to recognize things,
typically as a result of brain damage; from Greek "ignorance" or "without knowledge"
What part of the brain is severed in those with agnosia? ANSW✅✅corpus callosum
What is impaired in those with frontal lobe dysfunctions? ANSW✅✅insight for social judgemetn,
impulse control, problem solving
What is impaired in those with temporal lobe dysfunctions? ANSW✅✅insight for memory and
language functions
What is impaired in those with parietal lobe dysfunctions? ANSW✅✅insight for hemiparesis,
neglect
What is impaired in those with occipial lobe dysfunctions? ANSW✅✅cortical blindness, insight for
object recognition
When is depression increased/decreased in terms of pt awareness levels? ANSW✅✅decrease:
impaired awareness (R hemisphere lesion)
increase: with intact awareness (L hemisphere lesion)
What is anosognosia? ANSW✅✅denial in illness
- deny existence of major disabilities such as paralysis, sensory loss, and visual field blindness; some
even deny ownership of affected limb
- claim to be able to do things that are obviously out of their realm of physical ability
in pt's with anosognosia, how would someone with L hemiplegia describe their weakness?
ANSW✅✅someone with severe L hemiplegia claims that arm and leg are just a "little weak" and
only give him problems when he attempts to use stairs
