Stroke

Authors

Affiliations

Nate Yomogida, PT, DPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, PT, DPT

Doctor of Physical Therapy

B.A. in Neuroscience

Resources

• Suzanne - Ch11 Stroke^{martinNeurologicInterventionsPhysical2021a?}
• Ch15 stroke¹
• Ch32 stroke²
• Ch103 Sleep-wake disturbances and Stroke³

Types of Strokes

Figure 1: Major types of Ischemia in strokes⁴

Motor control

Focus on “forced use” facilitation to encourage use of impaired side.

Lateropulsion

• Lateropulsion
• Pusher Syndrome

Symptoms

Pain

Central pain (See )

Weakness

• Hemiparetic arm

Secondary Impairments & Problems

In class notes

• DVT/ PE
• Decreased ROM
• Contractures
• Depression
• Shoulder Subluxation/ Pain
• Decreased Endurance
• Generalized Weakness
• Atrophy
• Multiple System Deconditioning
• Pain: Bed sores, Tight Muscles

References

1.

Fulk GD, Chui KK, eds. O’Sullivan and Schmitz’s Physical Rehabilitation. 8th ed. F. A. Davis Company; 2024.

2.

Goodman C, Fuller K. Goodman and Fuller’s Pathology. 5th ed. Elsevier, Inc; 2020.

3.

Kryger MH, Roth T, Goldstein CA. Kryger’s Principles and Practice of Sleep Medicine - E-book. Elsevier Health Sciences; 2021. https://books.google.com/books?id=yDVVEAAAQBAJ

4.

Ju W. Neuroscience. University of Toronto https://med.libretexts.org/Bookshelves/Pharmacology_and_Neuroscience/Neuroscience_(Ju)