STROKE REHABILITATION STUDY GUIDE QUESTIONS AND
SOLUTIONS 2025/2026 GRADED A+
✔✔location after acute care D/C - ✔✔inpatient rehab
- 3 hours of therapy
- goals: discharge home, train pt/caregivver, evaluate need for equipment at home
outpatient rehab
long term care facility
home heatlh
✔✔acute stroke rehab - aspects - ✔✔* time frame of recovery
* factors contributing to recovery
* standardized assessments
-- PDQ 9
-- ABC scale
-- SIS
* stroke impairments
- primary or secondary
* functional limintation
✔✔stroke rehab - ✔✔any aspect of stroke care that aims to
- reduce disability
- promote participation of ADL
* prevent
- deteroriation of function
- improve function
- achieve highest independence possible
✔✔stroke recovery - ✔✔human brain recovers from stroke in three main ways:
adaptation
regeneration
neuroplasticity
✔✔adaptation - ✔✔relience on alternative physical movements or devices to
COMPENSATE for poststroke deficits
* ex: using left hand instead of dominant right after stroke
, ✔✔regeneration - ✔✔growth of neurons and circuitry to REPLACE damaged from
stroke
--- CNS cannot regenerate
✔✔neuroplasticity - ✔✔changes in neural network
--- considered main recovry process and focus of rehab interventions
** intial goal = promote neuroplasticity
✔✔principles of experience dependent plasticity - ✔✔1. Use it or lose it
2. Use it and improve it
3. Specificity
4. Repetition matters
5. Intensity matters
6. Time matters
7. Salience matters
8. Age matters
9. Transference
10. Interference
✔✔time frame of recovery from stroke - ✔✔* greatest improvements found in first 6 mo
-- improvements can continue over years
✔✔factors contributing to recovery - ✔✔- age
- characteristic of lesion
- experience
- pharmacology
- effects of training
✔✔factors contributing to recovery - age - ✔✔* greater recovery if younger at onset?
-- not always = depends on
*** if damaged injury is mature or not
- if damaged area is immature and no other area assumes its function = may not see
probelms earlier, but in later years
- if damaged area is immature and another area does assume function = will see
greater recovery in younger patient
* the brain reacts differently to injury at different stages of development
✔✔factors contributing to recovery - lesion characteristics - ✔✔* size of lesion
- smaller = greater change of recovery
SOLUTIONS 2025/2026 GRADED A+
✔✔location after acute care D/C - ✔✔inpatient rehab
- 3 hours of therapy
- goals: discharge home, train pt/caregivver, evaluate need for equipment at home
outpatient rehab
long term care facility
home heatlh
✔✔acute stroke rehab - aspects - ✔✔* time frame of recovery
* factors contributing to recovery
* standardized assessments
-- PDQ 9
-- ABC scale
-- SIS
* stroke impairments
- primary or secondary
* functional limintation
✔✔stroke rehab - ✔✔any aspect of stroke care that aims to
- reduce disability
- promote participation of ADL
* prevent
- deteroriation of function
- improve function
- achieve highest independence possible
✔✔stroke recovery - ✔✔human brain recovers from stroke in three main ways:
adaptation
regeneration
neuroplasticity
✔✔adaptation - ✔✔relience on alternative physical movements or devices to
COMPENSATE for poststroke deficits
* ex: using left hand instead of dominant right after stroke
, ✔✔regeneration - ✔✔growth of neurons and circuitry to REPLACE damaged from
stroke
--- CNS cannot regenerate
✔✔neuroplasticity - ✔✔changes in neural network
--- considered main recovry process and focus of rehab interventions
** intial goal = promote neuroplasticity
✔✔principles of experience dependent plasticity - ✔✔1. Use it or lose it
2. Use it and improve it
3. Specificity
4. Repetition matters
5. Intensity matters
6. Time matters
7. Salience matters
8. Age matters
9. Transference
10. Interference
✔✔time frame of recovery from stroke - ✔✔* greatest improvements found in first 6 mo
-- improvements can continue over years
✔✔factors contributing to recovery - ✔✔- age
- characteristic of lesion
- experience
- pharmacology
- effects of training
✔✔factors contributing to recovery - age - ✔✔* greater recovery if younger at onset?
-- not always = depends on
*** if damaged injury is mature or not
- if damaged area is immature and no other area assumes its function = may not see
probelms earlier, but in later years
- if damaged area is immature and another area does assume function = will see
greater recovery in younger patient
* the brain reacts differently to injury at different stages of development
✔✔factors contributing to recovery - lesion characteristics - ✔✔* size of lesion
- smaller = greater change of recovery
