Definition of Hemorrhagic Conversion in Occupational Therapy
An ischemic infarct converting into a hemorrhagic lesion.
Prevalence and Cause Occurs in 10% of patients.
More common in large infarcts.
Ranges from minor bleeding to major hemorrhage.
Thrombi can migrate, lyse, and re-perfuse...
Pusher Syndrome Occupational Therapy Intervention Main Symptoms Body is tilted toward the paretic side when sitting or standing.
Active pushing with nonaffected extremities, resulting in leaning toward the hemiplegic side (and loss of balance).
Resistance to any attempts to correct...
Background Guillain-Barre Syndrome (GBS/AIDP), Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), and Miller Fisher Syndrome are a group of inflammatory diseases that causes demyelination of axons in peripheral nerves.
Cause is uncertain, possible causes include: genetic, vaccination (infrequently), viral infection, enteritis,...
Considerations Traditional CIMT is provided for more than 2 hours/day and should not be used within the first month following stroke.
Modified CIMT is a less intense program which varies in terms of the time of constraint, the intensity...
Pros Promotes weight bearing due to distal support Cons Hand is not free for functional activities.
Handpiece may be uncomfortable and cause skin breakdown.
May be difficult to don/doff independently. Adjustment for shoulder subluxation
https://www.youtube.com/watch?v=2--ukB6d7IM
Evidence
Current research shows that the use of slings...
Complex Regional Pain Syndrome (CRPS) is a chronic pain that usually affects an arm or a leg. Typically develops after an injury including fractures, sprains/strains, soft tissue injury (burns, cuts, or bruises), limb immobilization, surgery, or medical procedures such...
Interventions for left neglect/inattention "The Dynavision is a large, computerized light board containing 64 small red square target buttons that light up randomly one at a time. The client searches the board to locate the lighted button. Once located, the...
Hemispheric Differences Left Brain Injury
Right Brain Injury Right-sided hemiparesis/plegia
Left-sided hemiparesis/plegia Right-sided sensory loss
Left-sided sensory loss Speech & language impairments
Visual-perceptual impairments Difficulty in planning/sequencing
Impulsive behaviors Slow, cautious behavior
Poor judgment Processing delays (including verbal cues)
Poor emotional regulation Memory impairments
Memory impairments MCA Syndrome Contralateral hemiparesis
Contralateral sensory loss
Aphasia
Perceptual deficits...