Cerebrovascular Accident
Cerebrovascular Accident
Cerebrovascular Accident
ACCIDENT
CVA
Epidemiology
Asian > US
Risk Factor
Non- modifiable
Age
Sex
Race
Hereditary
Hypertension
Heart Disease
Smoking
Hypercholesterolemia
Diabetes Mellitus
Lifestyle factors
Etiology
Etiology
Hemorrhagic-15%
Ischemic -85%
Ischemic stroke
Hemorrhagic Stroke
AFFECTED AREA
AREA AFFECTED
Thalamus
AFFECTED AREA
AREA AFFECTED
Basal ganglia
Location of infarct
posterior limb of the internal
capsule, basis pontis, corona
radiata
Presentation
It is marked by hemiparesis or
hemiplegia that typically affects the
face, arm, or leg of the
contralateral side. Dysarthria,
dysphagia, and transient sensory
symptoms may also be present.
It displays a combination of
cerebellar and motor symptoms,
including weakness and clumsiness,
on the ipsilateral side of the body. It
usually affects the leg more than it
does the arm; hence, it is known
also as homolateral ataxia and
crural paresis. The onset of
symptoms is often over hours or
days.
The main symptoms are dysarthria
and clumsiness (i.e., weakness) of
the hand or
hemiparesis/hemiplegia.
Marked by persistent or transient
numbness, tingling, pain, burning,
or another unpleasant sensation on
one side of the body.
This lacunar syndrome involves
hemiparesis or hemiplegia with
Neurological Complications
and Associated Conditions of
Stroke:
Altered Consciousness
Dysphagia
Cognitive Dysfunction
Perceptual Dysfunction
DIFFERENTIAL DIAGNOSIS
Cerebral Tumor
Seizure
Sepsis
DEMOGRAPHIC DATA
Diagnosis:
OCCUPATIONAL HISTORY
Work/Vocational History
ACTIVITIES GIVEN
Interview
Wristroller
Translation of pegs
Twisting pipe
Evaluation Tool
Sensory Evaluattion
MMT
ROM
Standardized tool
FIM
Ashworth Scale
GLOBAL MENTAL FUNCTIONS
Energy
and Drive
Performance Skills
Poor motor skills:
Aligns
Stabilizes
Positions
Bends
Reaches
Manipulates
Grip
(R)
Coordinates
Moves
Lift
(R)
Walks
Flows(R)
Transports
Calibrates
Endures
Paces
(R)
Performance Skills
Good motor skills on specifically:
Grip (L)
Manipulates (L)
Lifts (L)
Calibrates (L)
Move (L)
Paces (L )
Performance Skills
Process skills:
Navigates (R)
Produces speech
Speaks fluenty
Performance Pattern
ROLES
HABITS
RITUALS
PREMORBID
CURRENT
5 AM
5 AM
6 AM
7 AM
8 AM
8 AMAM
9 AM
10 AM
11 AM
8 PM
Breakfast time
Cleans
5 AM 6 AM
her 6 AM 7AM
Breakfast Oral
Takes a Bath
condo
9 Watching TV
7AM 8 AM
Takes a bath
8 AM- 9AM
Going
different
churches/
places
9AM 10 AM
10 AM- 11 AM
11 AM- 12 PM
12 PM 1 PM
to
1 PM 2 PM
2 PM 3 PM
3 PM 5 PM
5 PM 6 PM
6 PM 7 PM
for 7 PM 8 PM
8 PM Cooks
dinner
9 PM
Sleeping time
10 PM
9 PM 10
LOM on BUE
RUE weakness
FOR
Biomechanical FOR
TUS
Modes:
Collaborating
Instructing
Encouraging
ENVIRONMENTAL
MODIFICATION TECHNIQUES
The client is positioned on the left side the therapist with the
table in front of them. The place should be spacious enough to be
able to move without restriction when performing the exercises
and activities.
TUA
Preparatory
Purposeful
Occupation Based
RCGR of cup
RECOMMENDATION