stroke rehab Study Guide Questions With Complete Solutions

recovery results from correct answer: recovery of the ischemic penumbra resolution of cerebral edam neuroplasticity and rehabilitation better outcomes associated with correct answer: early medical care smaller strokes specialized stroke care centers early intensive multidiscinplary rehab ischemic stroke recovery pattern correct answer: rapid in first month steady rate for 3 months progress may or may not be functional from 3-6 months functional status after 6 months remains constant usually hemmorrhagic stroke recovery pattern correct answer: slow initial rate of recovery followed by rapid rate of recovery 6 months post Survivors usually have less long term disability and better functional outcomes Goals of Post-Stroke PT • ICU/Acute Care (7) correct answer: o Patient and family education o Prevention of secondary complications o Positioning, splinting o Assess functional abilities (as soon as medically able) o Manage impairments o EARLY mobilization-low intensity, monitor status closely o Discharge planning Goals of Post-Stroke PT • Rehabilitation o Same as acute care setting and... (6) correct answer: o Patient-family centered goals (What types of activities are important to them) o Maximize functional status and independence o Discharge planning with the team o Equipment (DME, Durable medical equipment (w/c, gait assistive devices) • Orthotics • Splints, slings, gloves, etc. Goals of Post-Stroke PT • Chronic Phase (6 months and beyond) o Home care o Community rehab • If more mobile and have access o Outpatient o Home exercise program • Goals: correct answer: Maintenance/continued improvement in ROM, strength, endurance, balance, functional mobility, participation in recreational and vocational activities