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Strokes/Hemiplegia - Coggle Diagram

- - - - Forearm: Sup
      - Elbow: Flexion
      - Wrist: Flexion
      - Shoulder: IR/ADd
  - - - Elbow: Extension
      - Forearm: Pronation
      - Shoulder: IR/Retroversion
      - Wrist: Flexion
- - - - Death
      - dysfunction
      - Can be partially/full recovered from
    - - Level of impairment depends on location and degree of damage done
      - Blood supply to brain/part of brain interrupted
  - - - Weight
      - Physical inactivity
      - Alcohol/drug use
      - Smoking
      - Stress
      - Birth control/hormones therapy replacement
    - - Sex
      - Age
      - Family History
      - Ethnicity
      - Personal circumstances
      - History of stroke or TIA
    - - BP
        
        Hypertension associated with hemorrhagic strokes
      - Atherosclerosis
        
        Associated with ischemic strokes
- - - - sometimes resulting from a stroke
  - - - Almost imperceptible to severely disabling w/ profound spasticity and sensory/perceptual loss
  - - - mm on affected side weak/flaccid - acute phase
      - Gradual flaccid paralysis leads to spastic paralysis
        
        Uninhibited alpha motor neuron firing = lesions interfere with brains control over SC activity
      - Can become a flexor/extensor pattern based on uninhibited dominant reflexes
        
        M/c pattern: flexor pattern in upper limbs combined with extensor pattern in lower limbs
    - - Altered posture
      - Circumducted gait
      - Hemiplegic shoulder: GH ADd, IR, scapular retraction
      - Seizures, edema, pain, compensatory changes
      - Sensory deficit
      - Shoulder hand syndrome - decreased ROM of GH and hand w/ throbbing pain/edema
      - Neglect of affected side
      - Behavioral & emotional changes
      - Visual impairment/speech difficulties
      - Cognitive impairment