Stroke: Physiotherapy Assessment
Original Editor - Naomi O'Reilly
Top Contributors - Naomi O'Reilly, Kim Jackson, Simisola Ajeyalemi, Vidya Acharya, WikiSysop, Adam Vallely Farrell, Rucha Gadgil and Amrita Patro
Introduction[edit | edit source]
According to Ryerson (2008) assessment in neurological physiotherapy is a process of collecting information about disordered movement patterns, underlying impairments, activity restrictions, and societal participation for the purpose of intervention planning. While Bernhardt & Hill (2005) outline that the purpose of assessment is to help the therapist determine the best intervention. Assessment is arguably the most important step in the rehabilitation process, as our clinical reasoning is based on th einformation it provides and provides the basis for our decision making throughout the rehabilitation process. Johnson & Thompson (1996) outlined that treatment can only be as good as the assessment on which it was based. So in order for us to progress and manage our treatment plan and ensure we are identifying out patients problems assessment should be an ongoing and continuous, and should allow us toindividualised, patient-centred goals and ultimately a tailor-made treatment plan for the individual.
Database[edit | edit source]
History of Present Condition
[edit | edit source]
- Date of Onset of Signs & Symptoms
- Progression of the Condition
- Medical Management
- Medical Observations
- Other Management
- Previous Therapy
- Results of Specific Investigations
Blood Tests
X-Rays
CT Scans
MRI Scans
Past Medical History
[edit | edit source]
- Co-morbidities and other non-related conditions
- Special Equipment, Technology Dependency
- Previous Surgery
- Medication History
Subjective[edit | edit source]
The subjective assessment is used to provide a detailed picture of how the present condition affects the patient.
Social History[edit | edit source]
- Social Situation
- Family Support
- Accommodation
- Social Service Support
Activity[edit | edit source]
- Normal Daily Routine
- Employment
- Leisure Activities
Mobility[edit | edit source]
- General
- Indoor
- Outdoor
- Steps & Stairs
- Falls
Personal Care[edit | edit source]
- Washing
- Continence
- Dressing
Other[edit | edit source]
- Vision
- Hearing
- Swallowing
- Fatigue
- Pain
- Perceptions of own Problems/Main Concern
- Expectations of Treatment
Objective[edit | edit source]
Posture and Balance[edit | edit source]
- Alignment
- Neglect
- Sitting Balance
- Standing Balance
Voluntary Movement[edit | edit source]
- Range of Movement
- Strength
- Endurance
- Coordination
Finger to Nose Test
Heel to Shin Test
Rapidly Alternating Movement
Involuntary Movement[edit | edit source]
- Tremor
- Clonus
- Chorea
- Associated Reactions
Tone[edit | edit source]
- Decreased
Flaccid - Increased
Spasticity
Rigidity (Cogwheel or Lead Pipe)
Reflexes[edit | edit source]
- Deep Tendon Reflexes
Biceps (C5/6)
Triceps (C7/8)
Knee (L3/4)
Ankle (S1/2) - Plantar Reflex (Babinski’s Sign)
- Hofmanns Reflex
Sensory[edit | edit source]
- Light Touch
- Pin Prick
- Two Point Discrimination
- Vibration Sense
- Proprioception
- Temperature
- Vision and Hearing
Functional Activities[edit | edit source]
- Bed Mobility
- Sitting Balance
- Transfers
- Upper Limb Function
- Mobility
- Stairs
Gait[edit | edit source]
- Pattern
- Distance
- Velocity
- Use of Walking Aids
- Orthotics
- Assistance
- Cognitive Status
- Attention
- Orientation
- Memory
Summary[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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