4.19 CVA types

Question 1

What happens with both left and right CVAs?

Answer 1

• contralateral motor/sensory loss
• short attn span
• memory loss
• loss of executive functions (depending on severity)

Question 2

Ⓡ CVA more (visual/speech)?

Ⓛ CVA more (visual/speech)?

Answer 2

• Ⓡ: visual

- Ⓛ: speech (remember Ⓛ = language)

Question 3

Which CVA tends to be associated with more neglect?

Answer 3

right

Question 4

Which CVA pts are commonly quick and impulsive?

Answer 4

right

Question 5

Which CVA type has expressive and receptive issues?

Answer 5

left?

Question 6

Which CVA type has apraxia issues?

Answer 6

left

Question 7

Which CVA type is slow and cautious?

Answer 7

left

Question 8

Right CVA pts and judgement issues

PT needs to remember to do this with instruction

Answer 8

• judgement and impulsivity makes therapy “interesting”
• need to phrase things specifically or they may latch onto an action word and immediately do it

they have terrible judgement*

Question 9

Which CVA type is more aware of their impairments?

Answer 9

LEFT

• overly aware
• may overamplify their condition

right is more unaware of impairments

Question 10

What is the problem with right CVA pts being more unaware of their impairments?

Answer 10

higher fall risk

Question 11

Who are the Debbie Downers?

Answer 11

left CVA

• think they’re performing poorly all the time

Question 12

Who has problems with abstract thinking?

Answer 12

right CVA

Question 13

Who has problems with verbal cues?

Answer 13

left CVA (if they have aphasia)

Question 14

Who has problems with time?

Answer 14

right CVA