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Movement Deficits Post CVA
A brief summary of the most common Deficits seen post stroke
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Motor Control One of the most obvious deficits after stroke is lack of movement or motor control
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Midline Orientation Another deficit noted that is less common is midline orientation; Midline orientation can be severely debilitating and increases fall risk in patients.
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Sensory Loss Sensory loss can affect the involved side after stroke. You may lose the touch sensation or the deep pressure sensation. You may loose position sense/proprioception as well. All of these make it more difficult to walk or move and may cause risk of injury to the involved limb.
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Neglect Neglect is a difficult thing to understand. It often leads to big limits in safe mobility and may be severely limiting in function
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Body Awareness Can be either left or right
Can be upper or lower extremity Can be with or without movement
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Ataxia versus Apraxia Ataxia—coordination of movement
Apraxia—motor planning Ataxia versus balance
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Patterns of movement/synergies
Changes in muscle Tone High tone Low tone Patterns of movement/synergies Positioning
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Vision deficit Field cut Double vision quadrants/holes in vision
Depth perception
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Right versus Left CVA characteristics:
Right—left sided body paralysis, vision problems, quick/inquisitive behavioral style, memory loss. Left-right sided body paralysis, speech/language problems, slow/cautious behavior style, memory loss.
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Recovery Brain plasticity Relearning normal movement Technology
Rehabilitation
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