What are the Primary Risk Factors of Stroke
- Heart Disease
- Diabetes Mellitus
What are the Secondary Risk Factors to Strokes
- High Cholesterol
- Behaviors related to hypertension
- Physical Inactivity
- increase alcohol consumption
What is a Ischemic Stroke?
- Loss of perfusion to a portions of the brain
- Embolus - 20%
- Thrombus 80%
What is a Hemorrhagic Stroke?
- Abnormal Bleeding into the brain
- More fragile
How is a stroke diagnosed?
- Neurologcial exam
- blood and urine work
- CT, MRI, PET, Carotid Doppler, Cerebral Angiography
What is medical management for a Stroke?
- Mangage BP and ICP
- Anticoagulant meds
- Posible neurosurgery
What are signs of left hemiplegia?
- Visual perception problems, neglect
- Decreased Problem solving
- Often unaware of impairments
- Rigid Thinking - safety risk
What are signs of right hemiplegia?
- Speech and language problems
- Decreased planning, sequencing
- Very aware of impairments and anxious
- Slow and cautious
- Difficulty processing verbal cues
What are Impairments fo a Brainstem Lesion?
- Unstable vital signs
- Decreased consciousness
- Decreased ability to swallow
- Weakness of both sides of the body
- Paralysis on both sides of the body
What are impairments of a Cerebellum lesion?
- Decreased balance
- Decreased coordination
- Decreased ability for postural adjustment
- Contractures, Decubitus Ulcers
- Cardiac Arhythmias
- Limitied pulmonary capacity/ pneumondia
- orthostatic hypotension
- RSD, CRPS
Common Gait Deviations with a Stroke
- Hip - protraction, trendelenberg, hip hiking, circumduction during gait
- Knee- buckling or hyperextension during stance
- Ankle - Foot drag, increase tone = PF and IV
Ways to decrease tone
Ice packs, estime or vibrations to antogonist, air splints, weight bearing