This document provides information about stroke including:
- Definitions stroke as the sudden loss of neurological function caused by interrupted blood flow to the brain.
- Descriptions of the types of strokes - haemorrhagic caused by blood vessels rupturing and ischemic caused by a blood clot blocking blood flow.
- Details of assessments including reviewing systems like cardiovascular, respiratory and neurological systems.
- Explanations of physiotherapy management which involves reducing impairments and improving functional ability.
This document discusses cerebrovascular disease and stroke. It defines stroke and transient ischemic attack, and describes the main types of stroke as ischemic or hemorrhagic. Risk factors for ischemic stroke are discussed, including modifiable factors like hypertension and non-modifiable factors like age. The anatomy of brain blood vessels and circulation is outlined. Clinical presentations of strokes in different vascular territories are summarized, such as left middle cerebral artery infarction causing right-sided hemiparesis and sensory loss.
This document provides an outline and overview of key topics related to stroke. It begins with definitions and classifications of stroke, including transient ischemic attack (TIA) and different types of stroke. It then covers risk factors, pathophysiology, signs and symptoms, investigations, and management approaches for stroke. Specific sections address hemorrhagic versus ischemic stroke, localization of stroke syndromes, and differentiating features between anterior and posterior circulation strokes. Differential diagnoses are also listed. The document aims to present essential information on stroke for medical education purposes.
This document provides an outline for a presentation on stroke. It begins with an introduction defining stroke and classifying it as either transient ischemic attack (TIA), progressive stroke, or completed stroke. It then covers the types and risk factors of stroke, including modifiable and non-modifiable risk factors. The pathophysiology of both ischemic and hemorrhagic stroke is explained. Signs and symptoms of stroke are outlined, including localization of symptoms based on hemisphere affected. Investigations, prognostic factors, and management of both acute stroke and long-term prevention are summarized.
The document defines various terms related to strokes, including stroke, TIA, progressive stroke, completed stroke, and hemorrhagic vs ischemic stroke. It discusses the epidemiology, risk factors, types, clinical features, investigations, and differential diagnosis of strokes. Specifically, it provides details on the clinical presentations and neurological deficits associated with occlusion of different arteries in the anterior and posterior circulations. It also outlines the objectives and modalities used to investigate a potential stroke, including non-invasive tests like CT, MRI, and Doppler ultrasound and invasive tests like angiography.
The document discusses stroke, including its types, risk factors, pathophysiology, and clinical manifestations based on the artery affected. Ischemic stroke is more common than hemorrhagic and results from blockage of an artery depriving the brain of blood flow. Clinical features vary depending on the specific artery involved, such as contralateral weakness with middle cerebral artery stroke or visual field defects with posterior cerebral artery stroke. Complications can include altered consciousness, speech/language issues, and emotional or cognitive changes.
Stroke : Introduction, types and treatment.Obed Adams
Stroke is defined as the rapid loss of brain function due to disturbance in blood flow and supply to the brain.
OR
An acute episode of focal dysfunction of the brain, retina, or spinal cord.
It is clinically defined as the rapid onset of cerebral deficit lasting more than 24hours and is caused by acute vascular injury to parts of the brain. Presented by Obed Adams.
Stroke is caused by interrupted blood flow to the brain and can be ischemic (blockage of blood flow) or hemorrhagic (bleeding in the brain). The main symptoms include sudden weakness or numbness, trouble speaking or understanding, vision changes, and severe headache. Risk factors include high blood pressure, smoking, diabetes, obesity, high cholesterol, and atrial fibrillation. Diagnosis involves CT or MRI imaging of the brain along with medical history and exam. Treatment depends on the type of stroke but may include managing blood pressure, anticoagulants, surgery to repair burst blood vessels, and rehabilitation therapy.
This document discusses cerebrovascular disease and stroke. It defines stroke and transient ischemic attack, and describes the main types of stroke as ischemic or hemorrhagic. Risk factors for ischemic stroke are discussed, including modifiable factors like hypertension and non-modifiable factors like age. The anatomy of brain blood vessels and circulation is outlined. Clinical presentations of strokes in different vascular territories are summarized, such as left middle cerebral artery infarction causing right-sided hemiparesis and sensory loss.
This document provides an outline and overview of key topics related to stroke. It begins with definitions and classifications of stroke, including transient ischemic attack (TIA) and different types of stroke. It then covers risk factors, pathophysiology, signs and symptoms, investigations, and management approaches for stroke. Specific sections address hemorrhagic versus ischemic stroke, localization of stroke syndromes, and differentiating features between anterior and posterior circulation strokes. Differential diagnoses are also listed. The document aims to present essential information on stroke for medical education purposes.
This document provides an outline for a presentation on stroke. It begins with an introduction defining stroke and classifying it as either transient ischemic attack (TIA), progressive stroke, or completed stroke. It then covers the types and risk factors of stroke, including modifiable and non-modifiable risk factors. The pathophysiology of both ischemic and hemorrhagic stroke is explained. Signs and symptoms of stroke are outlined, including localization of symptoms based on hemisphere affected. Investigations, prognostic factors, and management of both acute stroke and long-term prevention are summarized.
The document defines various terms related to strokes, including stroke, TIA, progressive stroke, completed stroke, and hemorrhagic vs ischemic stroke. It discusses the epidemiology, risk factors, types, clinical features, investigations, and differential diagnosis of strokes. Specifically, it provides details on the clinical presentations and neurological deficits associated with occlusion of different arteries in the anterior and posterior circulations. It also outlines the objectives and modalities used to investigate a potential stroke, including non-invasive tests like CT, MRI, and Doppler ultrasound and invasive tests like angiography.
The document discusses stroke, including its types, risk factors, pathophysiology, and clinical manifestations based on the artery affected. Ischemic stroke is more common than hemorrhagic and results from blockage of an artery depriving the brain of blood flow. Clinical features vary depending on the specific artery involved, such as contralateral weakness with middle cerebral artery stroke or visual field defects with posterior cerebral artery stroke. Complications can include altered consciousness, speech/language issues, and emotional or cognitive changes.
Stroke : Introduction, types and treatment.Obed Adams
Stroke is defined as the rapid loss of brain function due to disturbance in blood flow and supply to the brain.
OR
An acute episode of focal dysfunction of the brain, retina, or spinal cord.
It is clinically defined as the rapid onset of cerebral deficit lasting more than 24hours and is caused by acute vascular injury to parts of the brain. Presented by Obed Adams.
Stroke is caused by interrupted blood flow to the brain and can be ischemic (blockage of blood flow) or hemorrhagic (bleeding in the brain). The main symptoms include sudden weakness or numbness, trouble speaking or understanding, vision changes, and severe headache. Risk factors include high blood pressure, smoking, diabetes, obesity, high cholesterol, and atrial fibrillation. Diagnosis involves CT or MRI imaging of the brain along with medical history and exam. Treatment depends on the type of stroke but may include managing blood pressure, anticoagulants, surgery to repair burst blood vessels, and rehabilitation therapy.
Stroke is defined as a neurological deficit persisting beyond 24 hours caused by occlusion or hemorrhage of brain arteries. The main types are ischemic (85%) caused by clot or embolism, and hemorrhagic (15%) caused by ruptured blood vessels. Risk factors include age, gender, race, family history, diabetes, atrial fibrillation, smoking, hypertension, and hyperlipidemia. Diagnosis involves tests like CT, MRI, Doppler, and echocardiogram. Treatment goals are to reduce injury, prevent complications, and recurrence with approaches like thrombolytics, antiplatelets, anticoagulants, statins, and blood pressure control.
Neurology 9th vascular diseases of the nervous systemRamiAboali
This document discusses cerebrovascular disease and stroke. It defines stroke and transient ischemic attack, and describes the main types of stroke. It discusses risk factors, clinical syndromes, investigation, and management of stroke. The most common signs of stroke are sudden onset of facial drooping, weakness, speech difficulty, and vision loss. Imaging such as CT or MRI is important to determine if the stroke is ischemic or hemorrhagic.
There are two main types of stroke: ischemic and hemorrhagic. Ischemic strokes are caused by blockage of an artery while hemorrhagic strokes result from bleeding. The goal of acute stroke treatment is to revive brain tissue at risk of infarction by rapidly restoring blood flow. Alteplase is a thrombolytic drug approved for treatment of acute ischemic stroke within 4.5 hours of symptom onset to dissolve clots. It works by activating plasminogen into plasmin, which breaks down fibrin clots.
This document provides an overview of arterial anatomy in the brain and imaging of strokes. It discusses the anterior and posterior circulations, variants and anomalies like aberrant internal carotid arteries and persistent stapedial arteries. It also covers the circle of Willis and acute cerebral ischemia/infarction, including pathophysiology, CT findings like ASPECTS scoring, CTA, perfusion CT, and MRI findings in the hyperacute, subacute and chronic stages. Specific topics like watershed infarcts and artery of Percheron infarction are also mentioned.
This document provides an overview of strokes, including:
- Globally, about 17 million strokes occur annually, making it a leading cause of death and disability.
- Strokes are caused by blockages or ruptures in blood vessels in the brain. The brain then does not receive enough blood and oxygen.
- Risk factors include high blood pressure, smoking, diabetes, high cholesterol, obesity, lack of exercise, poor diet, family history, older age, and prior heart attack or stroke.
- Early detection and treatment are important to reduce long-term effects such as paralysis or speech problems. Managing risk factors can also help prevent future strokes.
Stroke is caused by interrupted blood flow to the brain, usually due to atherosclerosis narrowing arteries. This causes areas of the brain to be deprived of oxygen, resulting in tissue death and neurological deficits depending on the affected area. The middle cerebral artery supplies much of the lateral cerebral hemisphere, so its occlusion can cause contralateral hemiplegia and sensory loss. The anterior and posterior cerebral arteries also have characteristic deficit patterns from occlusions. Lacunar strokes from small deep vessel disease typically cause pure motor or sensory deficits.
The document provides information about stroke, including definitions, classifications, symptoms, investigations, and management. It defines stroke as a focal neurological deficit lasting more than 24 hours caused by interrupted blood flow to the brain. Strokes are classified as ischemic (caused by blockage) or hemorrhagic (caused by bleeding). Common signs include weakness on one side of the body and speech problems. Investigations include CT, MRI, and angiography. Treatment focuses on rapidly restoring blood flow through thrombolysis or other recanalization strategies.
Stroke results from a disruption in blood flow to the brain. It is a leading cause of death and disability. Risk factors include hypertension, smoking, heart disease, diabetes, and older age. There are two main types - ischemic caused by blockage and hemorrhagic caused by bleeding. Treatment depends on the type but may include blood thinners, clot busters, or surgery. Physical therapy focuses on regaining mobility and function through exercises, gait training, and positioning. Prevention emphasizes controlling risk factors like blood pressure, cholesterol, diabetes, and lifestyle changes like quitting smoking.
This document discusses cerebrovascular disease and stroke. It provides classifications and descriptions of different types of strokes including transient ischemic attacks, hemorrhagic strokes, and thrombotic vs. embolic ischemic strokes. It also summarizes the clinical assessment and presentation of strokes, differential diagnoses, pathophysiology of cerebral infarction, and general risk factors.
This document discusses stroke and conditions that can mimic stroke. It begins by defining stroke as a sudden neurological deficit caused by arterial ischemia or hemorrhage. While ischemic stroke diagnosis is often straightforward, clinical diagnosis is inaccurate 10-30% of the time as other conditions like infections, seizures, or tumors can appear similar. The document then discusses using a pattern-based approach to differentiate arterial ischemic strokes from stroke mimics based on imaging appearance over time from acute to chronic stages. Specific vascular territories, imaging sequences, and distinguishing features of common mimics like seizures and tumors are reviewed.
This document provides information about cerebrovascular accidents (strokes), including:
1. Strokes occur when blood supply to the brain is disrupted, causing brain cells to die from lack of oxygen and nutrients.
2. There are two main types of strokes - ischemic (lack of blood flow) and hemorrhagic (bleeding in the brain).
3. Signs and symptoms of strokes vary depending on the area of the brain affected but may include weakness, confusion, vision problems, and headaches.
This document summarizes information about strokes (cerebrovascular disease). It discusses that strokes are caused by reduced blood flow to the brain and can be ischemic (lack of blood flow) or hemorrhagic (bleeding). The most common causes are atherosclerosis and hypertension. Ischemic strokes are more common and can be thrombotic, embolic, or lacunar. Clinical signs depend on the location and size of the affected brain area. Investigations help determine the type and severity of stroke.
Stroke is a major cause of death and disability globally. Diagnosis depends on clinical features and brain imaging to differentiate between ischemic stroke and intracerebral hemorrhage. Management of ischemic stroke has advanced with therapies like intravenous thrombolysis and endovascular thrombectomy shown to reduce disability if applied rapidly. Both hemorrhagic and ischemic strokes require identifying risk factors and mechanisms to target prevention interventions, while lifestyle changes are common to reducing risk for all stroke subtypes.
CEREBROVASCULAR ACCIDENT/STROKE • Also called “brain attack”, cerebral infarction, cerebral hemorrhage, ischemic stroke or stroke • A stroke is caused by the interruption of the blood supply to the brain, usually because a blood vessel bursts or is blocked by a clot. This cuts off the supply of oxygen and nutrients, causing damage to the brain tissue.
This document summarizes the management of patients with cerebrovascular disorders such as stroke. It discusses the two main types of strokes - ischemic and hemorrhagic. Ischemic strokes are caused by blockage of blood flow to the brain while hemorrhagic strokes involve bleeding into or around the brain. Risk factors, pathophysiology, clinical manifestations, diagnostic assessments, medical and nursing management are described for both types of strokes. Surgical procedures like carotid endarterectomy are mentioned as prevention and treatment options for ischemic strokes.
Ischemic stroke results from abrupt vessel occlusion, which leads to a drop in regional cerebral blood flow (CBF). This drop in CBF causes tissue to compartmentalize into irreversibly damaged ischemic core, potentially salvageable penumbra, and oligemic brain. The two major mechanisms causing ischemia are thromboembolism and hemodynamic failure. Thromboembolism occurs from emboli originating from the heart or arteries, while hemodynamic failure occurs from arterial occlusion or stenosis. The outcome of tissue depends on regional CBF and duration of vessel occlusion, as CBF thresholds exist below which neuronal integrity is differentially affected.
This document provides an overview of the management of acute stroke. It defines stroke and transient ischemic attack, and discusses the epidemiology, classification, risk factors, pathophysiology, clinical presentation, diagnosis, management, complications and prognosis of stroke. The management involves resuscitation, reperfusion therapies like thrombolysis and thrombectomy, treating complications, secondary prevention including blood pressure and diabetes control, and rehabilitation. The document emphasizes the importance of specialized stroke units and timely management to improve outcomes for patients with acute stroke.
The document summarizes key information about the anterior cruciate ligament (ACL):
- The ACL connects the femur to the tibia and stabilizes the knee joint, preventing excessive shifting.
- ACL injuries are common in sports involving pivoting, cutting, and deceleration. Diagnosis involves physical exams like the Lachman and drawer tests along with imaging like MRI.
- Treatment may involve rehabilitation or reconstruction surgery depending on severity. Post-surgery rehabilitation focuses on regaining range of motion and strength before returning to sport.
Spondylolisthesis is the forward displacement of one vertebra over another, most commonly occurring at L5-S1. It occurs due to defects in the bone check mechanism at the lumbar-sacral junction that normally prevents slippage. The majority of cases are isthmic, resulting from a stress fracture or lesion of the pars interarticularis due to repeated flexion/extension stresses. Patients typically present with low back pain aggravated by extension and relieved by flexion. Radiographs reveal the degree of slippage and any pars defects. Treatment involves conservative care for mild cases and surgery to repair defects, reduce slippage, and fuse vertebrae for more severe or progressive cases.
Stroke is defined as a neurological deficit persisting beyond 24 hours caused by occlusion or hemorrhage of brain arteries. The main types are ischemic (85%) caused by clot or embolism, and hemorrhagic (15%) caused by ruptured blood vessels. Risk factors include age, gender, race, family history, diabetes, atrial fibrillation, smoking, hypertension, and hyperlipidemia. Diagnosis involves tests like CT, MRI, Doppler, and echocardiogram. Treatment goals are to reduce injury, prevent complications, and recurrence with approaches like thrombolytics, antiplatelets, anticoagulants, statins, and blood pressure control.
Neurology 9th vascular diseases of the nervous systemRamiAboali
This document discusses cerebrovascular disease and stroke. It defines stroke and transient ischemic attack, and describes the main types of stroke. It discusses risk factors, clinical syndromes, investigation, and management of stroke. The most common signs of stroke are sudden onset of facial drooping, weakness, speech difficulty, and vision loss. Imaging such as CT or MRI is important to determine if the stroke is ischemic or hemorrhagic.
There are two main types of stroke: ischemic and hemorrhagic. Ischemic strokes are caused by blockage of an artery while hemorrhagic strokes result from bleeding. The goal of acute stroke treatment is to revive brain tissue at risk of infarction by rapidly restoring blood flow. Alteplase is a thrombolytic drug approved for treatment of acute ischemic stroke within 4.5 hours of symptom onset to dissolve clots. It works by activating plasminogen into plasmin, which breaks down fibrin clots.
This document provides an overview of arterial anatomy in the brain and imaging of strokes. It discusses the anterior and posterior circulations, variants and anomalies like aberrant internal carotid arteries and persistent stapedial arteries. It also covers the circle of Willis and acute cerebral ischemia/infarction, including pathophysiology, CT findings like ASPECTS scoring, CTA, perfusion CT, and MRI findings in the hyperacute, subacute and chronic stages. Specific topics like watershed infarcts and artery of Percheron infarction are also mentioned.
This document provides an overview of strokes, including:
- Globally, about 17 million strokes occur annually, making it a leading cause of death and disability.
- Strokes are caused by blockages or ruptures in blood vessels in the brain. The brain then does not receive enough blood and oxygen.
- Risk factors include high blood pressure, smoking, diabetes, high cholesterol, obesity, lack of exercise, poor diet, family history, older age, and prior heart attack or stroke.
- Early detection and treatment are important to reduce long-term effects such as paralysis or speech problems. Managing risk factors can also help prevent future strokes.
Stroke is caused by interrupted blood flow to the brain, usually due to atherosclerosis narrowing arteries. This causes areas of the brain to be deprived of oxygen, resulting in tissue death and neurological deficits depending on the affected area. The middle cerebral artery supplies much of the lateral cerebral hemisphere, so its occlusion can cause contralateral hemiplegia and sensory loss. The anterior and posterior cerebral arteries also have characteristic deficit patterns from occlusions. Lacunar strokes from small deep vessel disease typically cause pure motor or sensory deficits.
The document provides information about stroke, including definitions, classifications, symptoms, investigations, and management. It defines stroke as a focal neurological deficit lasting more than 24 hours caused by interrupted blood flow to the brain. Strokes are classified as ischemic (caused by blockage) or hemorrhagic (caused by bleeding). Common signs include weakness on one side of the body and speech problems. Investigations include CT, MRI, and angiography. Treatment focuses on rapidly restoring blood flow through thrombolysis or other recanalization strategies.
Stroke results from a disruption in blood flow to the brain. It is a leading cause of death and disability. Risk factors include hypertension, smoking, heart disease, diabetes, and older age. There are two main types - ischemic caused by blockage and hemorrhagic caused by bleeding. Treatment depends on the type but may include blood thinners, clot busters, or surgery. Physical therapy focuses on regaining mobility and function through exercises, gait training, and positioning. Prevention emphasizes controlling risk factors like blood pressure, cholesterol, diabetes, and lifestyle changes like quitting smoking.
This document discusses cerebrovascular disease and stroke. It provides classifications and descriptions of different types of strokes including transient ischemic attacks, hemorrhagic strokes, and thrombotic vs. embolic ischemic strokes. It also summarizes the clinical assessment and presentation of strokes, differential diagnoses, pathophysiology of cerebral infarction, and general risk factors.
This document discusses stroke and conditions that can mimic stroke. It begins by defining stroke as a sudden neurological deficit caused by arterial ischemia or hemorrhage. While ischemic stroke diagnosis is often straightforward, clinical diagnosis is inaccurate 10-30% of the time as other conditions like infections, seizures, or tumors can appear similar. The document then discusses using a pattern-based approach to differentiate arterial ischemic strokes from stroke mimics based on imaging appearance over time from acute to chronic stages. Specific vascular territories, imaging sequences, and distinguishing features of common mimics like seizures and tumors are reviewed.
This document provides information about cerebrovascular accidents (strokes), including:
1. Strokes occur when blood supply to the brain is disrupted, causing brain cells to die from lack of oxygen and nutrients.
2. There are two main types of strokes - ischemic (lack of blood flow) and hemorrhagic (bleeding in the brain).
3. Signs and symptoms of strokes vary depending on the area of the brain affected but may include weakness, confusion, vision problems, and headaches.
This document summarizes information about strokes (cerebrovascular disease). It discusses that strokes are caused by reduced blood flow to the brain and can be ischemic (lack of blood flow) or hemorrhagic (bleeding). The most common causes are atherosclerosis and hypertension. Ischemic strokes are more common and can be thrombotic, embolic, or lacunar. Clinical signs depend on the location and size of the affected brain area. Investigations help determine the type and severity of stroke.
Stroke is a major cause of death and disability globally. Diagnosis depends on clinical features and brain imaging to differentiate between ischemic stroke and intracerebral hemorrhage. Management of ischemic stroke has advanced with therapies like intravenous thrombolysis and endovascular thrombectomy shown to reduce disability if applied rapidly. Both hemorrhagic and ischemic strokes require identifying risk factors and mechanisms to target prevention interventions, while lifestyle changes are common to reducing risk for all stroke subtypes.
CEREBROVASCULAR ACCIDENT/STROKE • Also called “brain attack”, cerebral infarction, cerebral hemorrhage, ischemic stroke or stroke • A stroke is caused by the interruption of the blood supply to the brain, usually because a blood vessel bursts or is blocked by a clot. This cuts off the supply of oxygen and nutrients, causing damage to the brain tissue.
This document summarizes the management of patients with cerebrovascular disorders such as stroke. It discusses the two main types of strokes - ischemic and hemorrhagic. Ischemic strokes are caused by blockage of blood flow to the brain while hemorrhagic strokes involve bleeding into or around the brain. Risk factors, pathophysiology, clinical manifestations, diagnostic assessments, medical and nursing management are described for both types of strokes. Surgical procedures like carotid endarterectomy are mentioned as prevention and treatment options for ischemic strokes.
Ischemic stroke results from abrupt vessel occlusion, which leads to a drop in regional cerebral blood flow (CBF). This drop in CBF causes tissue to compartmentalize into irreversibly damaged ischemic core, potentially salvageable penumbra, and oligemic brain. The two major mechanisms causing ischemia are thromboembolism and hemodynamic failure. Thromboembolism occurs from emboli originating from the heart or arteries, while hemodynamic failure occurs from arterial occlusion or stenosis. The outcome of tissue depends on regional CBF and duration of vessel occlusion, as CBF thresholds exist below which neuronal integrity is differentially affected.
This document provides an overview of the management of acute stroke. It defines stroke and transient ischemic attack, and discusses the epidemiology, classification, risk factors, pathophysiology, clinical presentation, diagnosis, management, complications and prognosis of stroke. The management involves resuscitation, reperfusion therapies like thrombolysis and thrombectomy, treating complications, secondary prevention including blood pressure and diabetes control, and rehabilitation. The document emphasizes the importance of specialized stroke units and timely management to improve outcomes for patients with acute stroke.
The document summarizes key information about the anterior cruciate ligament (ACL):
- The ACL connects the femur to the tibia and stabilizes the knee joint, preventing excessive shifting.
- ACL injuries are common in sports involving pivoting, cutting, and deceleration. Diagnosis involves physical exams like the Lachman and drawer tests along with imaging like MRI.
- Treatment may involve rehabilitation or reconstruction surgery depending on severity. Post-surgery rehabilitation focuses on regaining range of motion and strength before returning to sport.
Spondylolisthesis is the forward displacement of one vertebra over another, most commonly occurring at L5-S1. It occurs due to defects in the bone check mechanism at the lumbar-sacral junction that normally prevents slippage. The majority of cases are isthmic, resulting from a stress fracture or lesion of the pars interarticularis due to repeated flexion/extension stresses. Patients typically present with low back pain aggravated by extension and relieved by flexion. Radiographs reveal the degree of slippage and any pars defects. Treatment involves conservative care for mild cases and surgery to repair defects, reduce slippage, and fuse vertebrae for more severe or progressive cases.
This document provides an overview of interferential current therapy. It discusses the history and principles of interferential current, including how two alternating medium frequency currents intersect to produce amplitude modulation at a low frequency. It describes parameters like frequency, dosage, sweep patterns and techniques like bipolar and quadripolar application. The physiological effects of interferential current like pain relief, muscle stimulation and increased blood flow are explained. Indications, contraindications and precautions for its use are also summarized.
This document discusses thoracic outlet syndrome (TOS), defined as abnormal compression of the neurovascular bundle in the narrow space between the clavicle and first rib. It describes the anatomy of the thoracic outlet and classifications of TOS (neurologic, venous, arterial). Common causes include anatomical defects, muscle anomalies, trauma, and repetitive activity. Symptoms vary depending on type but can include pain, numbness, and weakness in the neck, shoulder, arm and hand. Diagnosis involves clinical exams and imaging tests. Treatment begins with conservative options like physical therapy, injections, and exercises, while surgery is considered if symptoms persist.
This document provides an overview of spondylolisthesis, including its definition as the forward displacement of one vertebra over another, most commonly occurring at L5-S1. It discusses the anatomy and biomechanics of the lumbosacral junction that make it prone to injury. The document outlines the different types of spondylolisthesis and describes the pathology, predisposing factors, clinical presentation, radiological findings, and management options which include conservative treatments like physiotherapy and bracing or surgical interventions like fusion when conservative options fail.
The document summarizes key concepts related to scuba diving. It discusses how water pressure increases with depth and affects gas volume in the lungs and body based on Boyle's law. It describes breath-hold diving limits based on lung capacity and carbon dioxide levels. It also outlines open-circuit and closed-circuit scuba systems, how they supply air to divers, and their advantages and disadvantages for managing gas use and thermal regulation at different depths.
- Rotator cuff tears are a common shoulder injury, especially in overhead sports or jobs involving repetitive arm movements.
- The rotator cuff is made up of four muscles that stabilize the shoulder joint and allow for arm movement.
- Rotator cuff tears can be caused by acute injuries like falls or repetitive stress/overuse from activities like throwing.
- Symptoms include shoulder pain and weakness, especially with overhead motions. Exams involve range of motion and strength tests.
- Treatment may include rest, anti-inflammatories, physical therapy, corticosteroid injections, or surgery to repair the tear.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
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2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
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The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
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Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Exploring the Benefits of Binaural Hearing: Why Two Hearing Aids Are Better T...Ear Solutions (ESPL)
Binaural hearing using two hearing aids instead of one offers numerous advantages, including improved sound localization, enhanced sound quality, better speech understanding in noise, reduced listening effort, and greater overall satisfaction. By leveraging the brain’s natural ability to process sound from both ears, binaural hearing aids provide a more balanced, clear, and comfortable hearing experience. If you or a loved one is considering hearing aids, consult with a hearing care professional at Ear Solutions hearing aid clinic in Mumbai to explore the benefits of binaural hearing and determine the best solution for your hearing needs. Embracing binaural hearing can lead to a richer, more engaging auditory experience and significantly improve your quality of life.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
3. DEFINITION
Stroke (Cerebrovascular accident[CVA]) is the sudden
loss of neurological function caused by an interruption
of the blood flow to the brain.
4. CIRCLE OF WILLIS
ACA= ANTERIOR CEREBRAL
ARTERY
MCA= MIDDLE CEREBRAL ARTERY
PCA = POSTERIOR CEREBRAL
ARTERY
ICA = INTERNAL CAROTID ARTERY
CCA = COMMON CAROTID ARTERY
5. CIRCLE OF WILLIS cont..
TWO arteries , called the
carotid arteries ,supply
blood to the brain. they
run along either side of
neck and provide collateral
flow between the anterior
and posterior circulations
of the brain.
Each carotid artery
branches into an internal
and external carotid
artery.
The internal carotid artery
then branches into an
cerebral arteries.
Anterior circulation of the
brain derives from bilateral
ICAs
6. CIRCLE OF WILLIS
cont…
Posterior communicating
artery is given off as a
branch of the internal
carotid artery just before it
divides into its terminal
branches - the anterior and
middle cerebral arteries.
The anterior cerebral artery
forms the anterolateral
portion of the circle of Willis,
while the middle cerebral
artery does not contribute to
the circle.
The right and left posterior
cerebral arteries arise from
the basilar artery, which is
formed by the left and
right vertebral arteries.
The vertebral arteries arise
from the subclavian
arteries.
7. CIRCLE OF WILLIS
cont…
The anterior communicating
artery connects the two
anterior cerebral arteries
and could be said to arise
from either the left or right
side.
All arteries involved give off
cortical and central
branches. The central
branches supply the interior
of the circle of Willis, more
specifically, the
Interpeduncular fossa. The
cortical branches are
named for the area they
supply.
8. TYPES OF STROKE
HAEMORRHAGIC STROKE ISCHAEMIC STROKE
- Occurs when blood vessels
rupture, causing leakage of
blood in or around the brain.
-affecting about 80% of
individuals with stroke,
results when a clot blocks or
impairs blood flow,depriving
the brain of essential oxygen
and nutrients.
-80% of that type.
9. EPIDEMIOLOGY AND ETIOLOGY
Stroke is the fifth leading cause of death and the
leading cause of long-term disability among adults in the
United States.
The incidence of stroke increases dramatically with
age, effectively doubling in the decade after 65 years of
age. Approximately 10% of all strokes occur in
individuals 18 to 50 years of age. Between 5% and 8% of
persons who survive an initial stroke will experience
another one within 1 year; within 5 years, stroke will recur
in 16%.
ischemic stroke survivors 65 or older, incidences of
disabilities observed at 6 months include hemiparesis
(50%), inability to walk without assistance (30%),
dependence in activities of daily living (ADL) (26%),
aphasia (19%), and depression (35%).
10. ISCHAEMIC STROKE
thrombus(a blood clot within
the cerebral arteries or their
branches),
embolism(composed of bits
of matter (blood clot,
plaque) formed elsewhere
and released into the
bloodstream, traveling to
the cerebral arteries where
they lodge in a vessel,
producing occlusion and
infarction)
11. HAEMORRHAGIC STROKE
abnormal bleeding into the extravascular
areas of the brain, are the result of rupture of a
cerebral vessel or trauma.
increased intracranial pressures with injury to
brain tissues and restriction of distal blood
flow.
Intracerebral hemorrhage (IH) is caused by
rupture of a cerebral vessel with subsequent
bleeding into the brain.
Primary cerebral hemorrhage (nontraumatic
spontaneous hemorrhage) typically occurs in
small blood vessels weakened by
atherosclerosis producing an aneurysm.
Subarachnoid hemorrhage (SH) occurs from
bleeding into the subarachnoid space typically
from a saccular or berry aneurysm affecting
primarily large blood vessels.
12.
13. RISK FACTORS
Major risk factors for stroke are hypertension, diabetes
mellitus (DM), disorders of heart rhythm, high blood
cholesterol and other lipids, smoking/tobacco use, and
heart disease (HD).
Cardiac disorders (e.g., rheumatic heart valvular disease,
endocarditis) and cardiac surgery (e.g., coronary artery
bypass graft [CABG]) increase the risk of embolic stroke.
Cardiac disorders (e.g., rheumatic heart valvular disease,
endocarditis) and cardiac surgery (e.g., coronary artery
bypass graft [CABG]) increase the risk of embolic stroke.
14. WARNING SIGNS OF STROKE
Early
warning
signs
identified
by the
America
n Heart
Associati
on and
National
Stroke
Asso-
ciation,
known
as FAST.
15. Sudden cessation of CBF and oxygen-glucose
deprivation sets in motion a series of pathological events.
Within minutes, neurons die in the ischemic core tissue,
while the majority of neurons in the surrounding
penumbra survive for a slightly longer time.
Cell survival depends largely on the severity and the
duration of the ischemic episode.
For cells to survive, 20% to 25% of regular blood flow is
required. Without timely reperfusion, cells in the
penumbra die, neuronal activity ceases, and the infarct
expands.
PATHOPHYSIOLOGY
17. TRANSIENT ISCHEMIC
STROKE(TIA)
It refers to the temporary interruption
of blood supply to the brain.
The risk for recurrent stroke is 3.5%,
8%, and 9.2% at 2, 30, and 90 days
post-TIA respectively.
Symptoms
focal neurological deficit may last for
only a few minutes or for several
hours but by definition do not last
longer than 24 hours.
After the attack, there may be
evidence of residual brain damage
or permanent neurological
dysfunction.
19. ASSESSMENT
SUBJECTIVE ASSESSMENT:
PERSONAL PROFILE
A) DATE OF ASSESSMENT
B) NAME OF PATIENT
C) AGE AND GENDER
D) HEIGHT
E) WEIGHT
F) BMI
G) HAND DOMINANCY
H) OCCUPATION OF PATIENT
I) ADDERESS
J) MARITAL STATUS
K) REFRENCE DOCTOR
L) PROVISIONAL DIAGNOSIS
20. ANTERIOR CEREBRAL ARTERY
SYNDROME
FIRST AND SMALLER OF TWO TERMINAL BRANCHES OF
INTERNAL CAROTID ARTERY.
SUPPLIES MEDIAL ASPECT OF CEREBRAL
HEMISPHERE(FRONTAL AND PARIETAL LOBES) AND
SUBCORTICAL STRUCTURES INCLUDING BASAL
GANGLIA ,ANTERIOR FORMIX AND ANTERIOR FOUR-
FIFTHS OF CORPUS CALLOSUM.
AS ANTERIOR COMMUNICATING ARTERIES ALLOWS THE
PERFUSION OF PROXIMAL ACA ,OCCLUSION PROXIMAL TO
THIS POINT RESULTS IN MINIMAL DEFICIT, DISTAL
OCCLUSION CAUSE MORE SIGNIFICANT DAMAGE.
21. CLINICAL MANISFESTATION OF
ACA
CONTRALATERAL HEMIPARESIS
SENSORY LOSS WITH GREATER INVOLVEMENT OF LOWER
EXTREMITY THAN UPPER EXTREMITY.
URINARY INCONTINENCE
PROBLEMS WITH IMITATION AND BIMANUAL TASKS
ABULIA(INABILITY TO ACT DECISIVELY),SLOWNESS AND
DELAY IN MOTOR ACTION.
22. MIDDLE CEREBRAL ARTERY
SYNDROME
IT IS SECOND OF THE TWO MAIN BRANCHES OF INTERNAL
CAROTID ARTERY AND SUPPLIES ENTIRE LATERAL
ASPECT OF CEREBRAL HEMISPHERE(
FRONTAL,TEMPORAL AND PARIETAL LOBE) AND
SUBCORTICAL STRUCTURES,INCLUDING INTERNAL
CAPSULE(POSTERIOR PORTION),CORONA
RADIATA,GLOBUS PALLIDUS,CAUDATE NUCLEUS AND
PUTAMEN.
OCCLUSION OF PROXIMAL MCA PRODUCES EXTENSIVE
NEUROLOGICAL DAMAGE WITH SIGNIFICANT CEREBRAL
EDEMA.
INCREASED INTRACRANIAL PRESSURES TYPICALLY LEAD
TO LOSS OF CONSCIOUSNESS , BRAIN HERNIATION AND
POSSIBLY DEATH.
23. CLINICAL MANISFESTATION OF
MCA
CONTRALATERAL HEMIPARESIS INVOLVING MAINLY UE AND
FACE( LE IS MORE SPARED).
CONTRALATERAL HEMISENSORY LOSS INVOLVING MAINLY
THE UE AND FACE(LE IS MORE SPARED)
MOTOR SPEECH IMPAIRMENT : BROCA’S OR NONFLUENT
APHASIA WITH LIMITED VOCABULARY AND
SLOW,HESITANT SPEECH.
RECEPTIVE SPEECH IMPAIRMENT: WERNICK’S OR FLUENT
APHASIA
GLOBAL APHASIA:NON-FLUENT SPEECH WITH POOR
COMPREHENSION
24. CLINICAL MANISFESTATION OF
MCA CONT…
CONTRA-LATERAL HOMONYMOUS HEMIANOPSIA.
SENSORY ATAXIA OF CONTRALATERAL LIMBS
PURE MOTOR HEMIPLEGIA.
25. POSTERIOR CEREBRAL ARTERY
TWO POSTERIOR CEREBRAL ARTERIES ARISE AS TERMINAL
BRANCHES OF BASILAR ARTERY AND EACH SUPPLES THE
CORROSPONDING OCCIPITAL LOBE AND MEDIAL AND
INFERIOR TEMPORAL LOBE.
IT ALSO SUPPLIES UPPER
BRAINSTEM,MIDBRAIN,POSTERIOR DICENPHALON AND
MOST OF THALAMUS.
OCCLUSION OF POSTERIOR COMMUNICATING ARTERY-
SIMILAR TO ACA
OCCLUSION OF THALAMIC BRANCHES-HEMIANESTHESIA
(CONTRALATERAL SENSORY LOSS) OR CENTRAL POST-
STROKE(THALAMIC)PAIN.
27. CLINICAL MANIFESTATION OF
PCA
CONTRALATERAL HOMONYMOUS HEMIANOPSIA
VISUAL AGNOSIA(INABILITY TO NAME AND DESCRIBE
OBJECT)
PROSPOGNOSIA (DIFFICULTY IN NAMING PEOPLE ON
SIGHT)
DYSLEXIA(DIFFICULTY READING)
COLOR DISCRIMINATION PROBLEM
MEMORY DEFECT
DISORIENTATION
28. B) CHIEF COMPLAINS AND ADL
DIFFICULTY:
ON PATIENT’S WORD:
TURNING
SUPINE TO SIDELYING
SUPINE TO SITTING
DIFFICULTY IN EATING-
LIQUIDS,SEMISOLID,SOLID
DRINKING DIFFICULTY
BATHING DIFFICULTY
DRESSING DIFFICULTY
SITTING
STANDING
SIT TO STAND
TOILETING
STAIR CLIMBING
SPEAKING
29. C) HISTORY
A) HISTORY OF PRESENT
ILLNESS:
B) HISTORY OF PAST
ILLNESS:
C) PAIN HISTORY:
ONSET OF PAIN
DURATION OF PAIN
SITE/LOCATION OF PAIN
TYPE/QUALITY OF PAIN
INTENSITY OF PAIN-
VAS,NPRS,MACGILL
QUESTIONNARIE
AGGRAVATING/RELIEVING
FACTORS
30. D) SURGICAL HISTORY
DETAILS OF ANY
SURGERY THE PATIENT
HAS UNDERWENT :
A) DATE OF SURGERY:
B)TYPE OF SURGERY
C) OPERATIVE DETAILS
D) POST-OPERATIVE
DETAILS
CRANIOTOMY
BURR-HOLE SURGERY
31. E) PERSONAL HISTORY
BAD HABBITS LIKE
TOBACCO
CHEWING,ALCOHOL
INTAKE,DRUG ABUSE.ETC
1) DURATION
2)QUANTITY
PACK OF YEAR:
QUANTIFICATION OF
CIGARETTE SMOKING:
NO.OF PACK-YEARS=
(NO.OF CIGRAETTES PER
DAY/20) .NUMBER OF
YEARS SMOKED.
33. G) FAMILY HISTORY
HEREDITARY CONDITIONS LIKE HYPERTENSION, DIABETES
,ETC.
1.H/O-PARENTS
2.H/O-SIBLINGS
3.H/O-GRANDPARENTS
34. H) OCCUPATIONAL HISORY
1. NAME OF OCCUPATION
2.DURATION OF
OCCUPATION
3.TYPE OF OCCUPATION
4. ENVIRONMENT OF
OCCUPATION
5.ERGONOMICS OF
OCCUPATION
TO RULL OUT ANY OF
RISK-FACTORS
41. B. BREATHING PATTERN:
THORACO-ABDOMINAL
ABDOMINO-THORACIC
C.I:E RATIO
NORMAL=1:2
42. D. TROPHICAL CHANGES
1) SWELLING/ODEMA:
PRESENT ON UNUSED OR AFFECTED SITE.
SITE OF SWELLING
2) MUSCLE WASTING:
ON AFFECTED SIDE BECAUSE OF IT’S UNUSED.
3) SKIN CONDITIONS
COLOR AND TEXTURE:
DRY SKIN AND UNEVEN TEXTURE IF THERE IS AUTONOMIC
CHANGES.
48. G) DEFORMITIES
1. NAME OF DEFORMITY
2. SITE OF DEFORMITY
3. SIDE OF LIMB WHERE
DEFORMITY IS PRESENT
DUE TO STIFFNESS THAT
LEADS TO RESTRICT
MOTION LEADS TO
DEFORMITY .
50. I)POSTURE
ACCORDING TO SYNERGY.
EXAMINE POSTURE
LATERAL , ANTERIOR AND POSTERIOR VIEW
DURING SUPINE,SITTING AND STANDING POSITIONS.
51. J) GAIT
EQUINUS GAIT:
HEEL DOESN’T TOUCH THE GROUND
DUE TO CONTRACTURE OF GASTROCNEMIUS AND SOLEUS
VARUS FOOT:
PATIENT BEARS MORE WEIGHT ON THE LATERAL SIDE OF
FOOT
DUE TO SPASTIC ANTERIOR TIBIALIS,SOLEUS AND TOE
FLEXORS
LACK OF DORSIFLEXION IN STANCE PHASE AND
EXAGGERATED DF IN SWING PHASE
UNEQUAL STEP LENGTH
WIDE BASE OF SUPPORT
53. B) WARMTH:
SIDE AND SITE
PRESENT IF SWELLING IS PRESENT.
C)LOCAL SWELLING OR ODEMA:
D)MUSCLE TONE:
SITE AND SIDE
INCREASED/DECREASE
SPASTICITY IN SUB-ACUTE AND CHRONIC STAGE,
FLACCIDITY IN ACUTE STAGE
E) SCAR: MOBILE/NON-MOBILE
54. D) ON EXAMINATION
A. HIGHER MENTAL FUNCTION EXAMINATION:
1) LEVEL OF CONSCIOUSNESS:
GCS/MMSE
63. CRANIAL NERVE INTEGRITY
CN V: FACIAL SENSATION
CV V AND VII:FACIAL MOVEMENTS
CN VIII: AUDITORY FUNCTION
CN IX,X,XII: DETERMINATION OF MOTOR FUNCTION AS
WELL GAG REFLEX .
IF GAG REFLEX IS NEGATIVE –POSSIBILITY OF ASPIRATION.
CN II: VISUAL FIELD DEFECTS
CN II AND III: ABSENT PUPILLARY REFLEX
CN III,IV AND IX: ABSENCE OF EXTRAOCULAR MOVEMENT
64. 10) SENSORY EXAMINATION
SUPERFICIAL DEEP COMBINED
CORTICAL
PAIN
TOUCH
TEMPRATURE
LIGHT PRESSURE
CRUDE TOUCH
PROPRIOCEPTION
KINESTHETIC
SENSATION
VIBRATION
CRUDE PRESSURE
STEREOGNOSIS
TACTILE
LOCALIZATION
TWO POINT
DISCRIMINATION
GRAPHESTHESIA
BAROGNOSIS
65. INTERPRETATION OF SENSORY
TOUCH(64-94%), PAIN, TEMPRATURE, VIBRATION(44%)
PROPRIOCEPTION(17-52%) ARE MOST COMMONLY
AFFECTED.
KEY TO GRADING
INTACT NORMAL ACCURATE RESPONSE
DECRESED DELAYED RESPONSE
EXAGGERATED INCREASED SENSITIVITY
INACCURATE INAPPROPRIATE PERCEPTION OF STIMULUS
ABSENT NO RESPONSE
INCONSISTENT RESPONSE INADEQUATE TO DETERMINE
FUNCTION
67. 2.REFLEXS
SUPERFICIAL REFLEXES DEEP REFLEXES
CORNEAL
CONJUCTIVAL
ABDOMINAL
PLANTAR
BICESPS JERK
TRICEPS JERK
PATELLAR JERK
ANKLE JERK
0 NO RESPONSE
1+ PRESENT BUT DEPRESSED,LOW NORMAL
2+ AVERAGE,NORMAL
3+ INCREASE,BRISKER THAN AVERAGE
4+ VERY BRISK,WITH CLONUS;ABNORMAL
68. INTERPRETATION
INITIALLY,HYPOREFLEXIA WITH FLACCIDITY.
WHEN SPASTICITY AND SYNERGY
EMERGES,HYPERREFLEXIA IS SEEN.
DEEP TENDON REFLEXES ARE HYPERACTIVE AND
PATIENTS DEMONSTRATES CLONUS AND +VE BABINSKI
SIGN.
ATNR-HEAD ROTATION CAUSES ELBOW EXTENSION OF
UPPER EXTREMITY WITH ELBOW FLEXION OF OPPOSITE
LIMB.-COMMONLY SEEN
69. 3) TIGHTNESS/CONTRACTURE/DEFORMITY;
ACCORDING TO PATIENT
CONTRACTURES ARE LIKELY IN ELBOW FLEXORS,WRIST
AND FINGER FLEXORS AND FOREARM PRONATORS.
4)CHEST EXPANSION
MAY OR MAY NOT REDUCED
5)ROM:AFFECTED
AROM IS LIMITED DUE TO TONAL ABNORMALITIES
74. F) PHYSICAL AND FUNCTIONAL DIAGNOSIS:ICF
G)CLINICAL CONCLUSION AND PT DIAGNOSIS
75. MANAGEMENT
ACUTE STAGE SUB-ACUTE STAGE CHRONIC STAGE
WITHIN 72 HOURS
SEEN IN ICU OR
SPECIALIZED STROKE
CARE UNIT
AVERAGE STAY IS ABOUT
5 DAYS
LEARNED NONUSE OF
HEMIPARETIC
EXTREMITIES AND
MALADAPTIVE
PATTERNS OF
MOVEMENT ARE
MINIMIZED.
DAY 4 UPTO 6 MONTHS
TRANSFFERED IN
TRANSITIONAL UNIT.
60-90 MINUTES OF
THERAPY 5 DAYS/WEEK
MORE THAN 6 MONTHS
OUT-PATIENT
INTERVENTION IS
NECESSARY.
76. IMPROVE MOTOR LEARNING
MOTOR SKILL LEARNING IS BASED ON BRAIN’S CAPACITY
FOR RECOVERY THROUGH MECHANISM OF
REORGANIZATION AND ADAPTATION.
AN EFFECTIVE REHAB PLAN CAPITALIZES ON THIS
POTENTIAL AND ENCOURAGES ACTIVE PARTICIPATION.
ACTIVITY> SELECTIVE,MEANINGFUL AND IMPORTANT
OPTIMAL MOTOR LEARNING>STRATEGY
DEVELOPMENT,FEEDBACK AND PRACTICE
77. IMPROVE MOTOR LEARNING
CONT…
STRATEGY DEVELOPMENT:
THERAPIST ASSIST PATIENT IN LEARNING DESIRED TASK-
COGNITIVE STAGE
VERBAL CUES AND MORE ATTENTION IS REQUIRED.
TASK-ANALYSIS
FEEDBACK:
MIRROR THERAPY : IMPROVE DORSIFLEXION AND UE
FUNCTION.
IMPROVING DETECTION OF LIGHT,TOUCH
,PRESSURE,PAIN AND TEMPRATURE
INTRINSIC- OCCURING AS PART OF MOVEMENT
EXTRINSIC-PROVIDED BY THERAPIST
EXP: VERBAL CUEING
78. IMPROVE MOTOR LEARNING
CONT…
PRACTICE:
PRACTICE IS MORE IMPORTANT.
MOTIVATION IS KEY TO SUCCESS.
SUPPORTIVE STRATERGIES ARE USED TO CLOSED
ENVIORNMENT > OPEN ENVIORNMENT
ENVIORNMENT-MINIMUM DISTRACTIONS
MOTIVATION IS KEY TO SUCCESSFUL LEARNING.
79. INTERVENTIONS TO IMPROVE
SENSORY FUNCTION
MORE PATIENT USED AFFECTED SIDE> GREATER CHANCES
OF INCREASED AWARENESS AND FUNCTION.
SENSORY RETRAINING PROGRAMME-
1.MIRROR THERAPY
2.REPETITIVE SENSORY DISCRIMINATION ACTIVITIES
3.REPETITIVE TASK PRACTICE
SENSORY STIMULATION ACTIVITIES:
1.COMPRESSION TECHNIQUE-WEIGHT BEARING,MANUAL
COMPRESSION,INFLATABLE PRESSURE
SPLINTS,INTERMITTENT PNEUMATIC COMPRESSION.
80. INTERVENTIONS TO IMPROVE
HEMIANOPSIA AND UNILATERAL
NEGLECT
PATIENTS WITH HEMIANOPSIA OR UNILATERAL NEGLECT
DEMONSTRATES THE STATE OF LACK OF AWARENESS OF
CONTRALATERAL SIDE.