CVA

Question 1

Left Hemisphere CVA Characteristics (8)

Answer 1

• Weakness/paralysis of R side
• Increased frustration**
• Decreased processing
• Possible aphasia (expressive, receptive, global)**
• Possible dysphagia
• Possible motor apraxia (ideomotor and ideational)**
• Decreased discrimination b/w R and L
• R hemianopsia

Question 2

Right Hemisphere CVA Characteristics (10)

Answer 2

• L sided weakness/paralysis
• Decreased attention span
• Left hemianopsia
• Decreased safety awareness/ judgment**
• Memory deficits
• L inattention
• Decreased abstract reasoning
• Emotional lability*
• Impulsive**
• Decreased spatial orientation

Question 3

Brainstem CVA Characteristics (4)

Answer 3

• Unstable vital signs
• Decreased consciousness
• Difficulty swallowing
• Bilateral weakness/paralysis**

Question 4

Cerebellum CVA Characteristics (6)

Answer 4

• Decreased balance
• Ataxia**
• Decreased coordination**
• Nausea
• Decreased ability for postural adjustment**
• Nystagmus**

Question 5

CVA Tests and Measures (4)

Answer 5

• National Institute of Health Stroke Scale (acute CVA relative to impairment)
• Functional Independence Measure (FIM) (burden level)
• Stroke Impact Scale (physical and social impairment)
• Fugl-Meyer Assessment of Physical Performance (motor, sensory, balance impairment; pain/ROM)