CVA
cerebrovascular accident
stroke
acute onset of neurological deficit
lasting more than 24 hours
caused by vascular
TIA
transient ischaemic attack
mini stroke
acute onset of neurological deficit
lasts less than 24 hours
Pathophysiology of stroke/ 2 types of strokes
ischaemic
haemorrhagic
causes of ischaemic stroke
block artery to the brain due to
1. build up of plaque
2. from a clot
where atherosclerosis plaque is formed causes a blood clot- thrombus
this blocks the blood flow
blood clot breaks away from artery wall- embolus
this then travels further to smaller vessels
haemorrhagic stroke cause
rupture of an artery
blood is released into area sorrounding brain is in the subarachnoid space
from aneurysm
intracerebral haemorrhage- tiny arteries burst
causes increased pressure on brain caused by hypertension
risk factors of stroke
older age
hypertension
diabetes
increased blood lipids
obesity
smoking
family history
male gender
impairments classification of stroke
primary=
1. sensori- motor
2. non-motos
secondary=
1. motor and muculoskeltal
2. non- motors
negative:
decrease in a function
positive:
increase in a function/ added e.g spasticity
primary sensori-motor impairments of stroke
negative:
decrease strength
decrease coordination
decrease senation
positive:
spasticity
primary non-motor impairments of stroke
decreased vision
decrease speech and language
decrease perceptual function
decrease cognitive function
apraxia
behaviour
emotion
secondary motor/ musculoskeletal impairments of stroke
decrease mm length/ joint stifness
decrease fitness
decrease strength
learned non-use
swelling
pain
shoulder subluxation
soft tissue damage
secondary non-motor impairments
depression
fatigue