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12 Cards in this Set

  • Front
  • Back
Bobath Recovery Stages in Hemiplegia
Flaccid Stage: no mm tone
Spastic Stage
Stage of Relative Recovery
Brunnstrom Stages of Recovery (6)
1. Flaccidity
2. Spasticity
3. Volitional movement in synergy
4. Movements deviating from synergy
5. Movements independent of synergy
6. All isolated joint movement present
Middle Cerebral Artery
- entire lateral aspect of cerebral hemispheres (F, T, P lobes)
-Subcortical structures include (5)
1. Internal Capsule(posterior portion)
2. Corona Radiata
3. Globus Pallidus (outer part)
4. Caudate Nucleus
5. Putamen
Anterior Cerebral Artery
- Medial aspect of the cerebral hemispheres (frontal and parietal)
-subcortical structures include
1. Basal Ganglia
2. Anterior fornix
3. Anterior 4/5 of corpus callosum
Posterior Cerebral Artery
- supply what 5 structures?
1. Occipital Lobe
2. Temporal Lobe
3. Upper Brainstem
4. Midbrain
5. Thalamus
MCA syndrome's most common S&Ss (9)
1. Contralateral spastic hemiparesis
2. Sensory loss of the face, UE>LE
3. Aphasia (dominant hemisphere) due to damage of parieto-occipital lesions.
4. Perceptual deficits (non-dominant hemisphere) due to damage to the right parietal lobe.
5. Limb-kinetic apraxia (cannot do purposeful mvmts)
6. Contralateral homonymous hemianopsia
7.Loss of conjugate gaze to opposite side
8. Ataxia of contralateral limb (intention tremor, aphasia, imbalance, dysmetria)
9. Pure motor hemiplegia
ACA syndrome's most common S&Ss (7)
1. Contralateral hemiparesis (LE>UE)
2. Sensory Loss (LU>UE)
3. Urinary incontinence
4. Apraxia and bimanual tasks
5. Abulia (akinetic mutism), slowness, delay, lack of spontaneity.
6. Contralateral grasp reflex
7. Impaired judgement
PCA Peripheral Territory Syndrome S&S (8)
1. contralateral homonymous hemianopsia
2. bilateral homonymous hemianopsia
3. Visual agnosia
4. Prosopagnosia (unable to name people/ recognize ppl)
5. Dyslexia
6. Anomia
7. Memory Defect
8. Topographic disorientation
*unable to detect/name colors
PCA Central Territory Syndrome S&S (8)
1. Thalamic Pain
2. Spontaneous pain and dysthesias
3. Involuntary movements
4. choreoathetosis
5. intention tremor
6. Hemiballismus
7. contralateral hemiplegia
8. paresis of vertical eye movement, sluggish pupillary light response.
Basilar Artery Syndrome
1. Tetraplegia/ quadriparesis
2. CN palsy bilaterally (upward gaze is spared)
3. Coma
4. Cognition intact
Right Hemispheric Lesions
1. Left Hemiparesis
2. General spatial-global deficits
3. significant visual-perceptual problems
4. behavioral problems
5. intellectual impairments
Visual perceptual impairments (RH)
1. hand-eye coordination
2. figure ground discrimination
3. spacial relationships
4. position in space
5. form constancy
6. unilateral neglect