Movement Deficits Post CVA A brief summary of the most common Deficits seen post stroke

Motor Control One of the most obvious deficits after stroke is lack of movement or motor control

Midline Orientation Another deficit noted that is less common is midline orientation; Midline orientation can be severely debilitating and increases fall risk in patients.

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.

Neglect Neglect is a difficult thing to understand. It often leads to big limits in safe mobility and may be severely limiting in function

Body Awareness Can be either left or right Can be upper or lower extremity Can be with or without movement

Ataxia versus Apraxia Ataxia—coordination of movement Apraxia—motor planning Ataxia versus balance

Patterns of movement/synergies Changes in muscle Tone High tone Low tone Patterns of movement/synergies Positioning

Vision deficit Field cut Double vision quadrants/holes in vision Depth perception

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.

Recovery Brain plasticity Relearning normal movement Technology Rehabilitation