Exam 15: Stroke

A patient who is 5 weeks post-right middle cerebral artery infarct presents for rehabilitation with the primary goal of regaining use of the left upper extremity that is in stage 2 of motor recovery.Given this presentation,which of the following activities should be done FIRST on the involved upper extremity?

A patient who is 7 weeks post-right anterior cerebral artery infarct presents with movement of the left upper extremity into an obligatory extension synergy.When examining the left lower extremity,the patient can extend the knee with the hip positioned at 90 degrees of flexion in sitting,but is unable to perform ankle dorsiflexion.What is this patient's stage of motor recovery?

A patient who is 5 weeks post-left cerebrovascular accident presents with no volitional movement of the right upper extremity but movement is noted as a result of a reflex response or as an associated reaction.When examining the right lower extremity,the patient can move the hip and knee but only in a flexion synergy.What is this patient's stage of motor recovery?

A patient who is 2 months post-left cerebrovascular accident tends to lean toward the involved side while in sitting or standing,but is in good alignment when looking at a mirror.Given this presentation,which of the following scales should be used?

Upon examination,it is noted that a patient appears to understand the physical therapist's questions,but hesitates and is slow when answering.Based on this presentation,what is the MOST likely location of the lesion and what is the impairment noted?

Upon examination,a patient presents with left upper extremity hemiplegia and left lower extremity hemiparesis and apraxia.Upon skin inspection,bruising on the left arm is noted.Which of the following is the MOST likely cause of this clinical presentation?

A patient presents with difficulty transitioning from sit-to-stand secondary to left anterior cerebral artery infarct.Upon creating a treatment plan,which of the following should be focused on FIRST?

A patient who is 5 weeks post-left cerebrovascular accident presents in stage 3 of motor recovery for the upper extremity with spasticity of elbow flexors.Which of the following combinations of treatment is MOST effective for achieving active elbow extension (single joint isolation)of the right upper extremity?