Protocol for Assessment of Post Stroke Hemiplegic Patient: Hip, Knee and Ankle (E)

Purpose: To exam the hip, knee and ankle of a post-stroke hemiplegic patient as part of the protocol developed by Fugl-Meyer.

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Evaluation

Are you examining the lower extremity of a post-stroke hemiplegic patient?

Yes

Select appropriate answer for each examination

Reflex activity of flexors

Reflex activity of extensors

Hip flexion while supine

Knee flexion while supine

Ankle dorsi-flexion while supine

Hip extension while supine

Hip adduction while supine

Knee extrension while supine

Ankle plantar flexion while supine

Knee flexion while sitting

Ankle dorsiflexion while sitting

Knee flexion while standing

Ankle dorsiflexion while standing

Muscle reflex activity

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score for the hip, knee and ankle

Number of steps unable to be performed

Number of steps performed partially

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Criteria For Diagnosis
- Impairment Associated with HIV-Associated Dementia Complex
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Amyotrophic Lateral Sclerosis (ALS) Score

Therapy

Physical And Lifestyle
- Equations of Wade et al for Predicting the 6 Month Barthel Activities of Daily Living (ADL) Score in a Patient with a Recent Stroke
Surgery
- Response to Surgical Therapy for Pudendal Nerve Entrapment
- Disability Affecting Patients Following Complete Resection of an Ependymoma

Monitoring

Response To Therapy
Disease Progression
- The Oxford Handicap Scale
- Intracerebral Hemorrhage Functional Outcome Score (ICH-FOS)
Complication Detection
- Trunk Control Test for Motor Impairment After Stroke
- Motricity Index for Motor Impairment After Stroke
Comorbid Conditions
- Impairment Associated with HIV-Associated Dementia Complex

Patient Concerns

Disability And Performance
Quality Of Life
Social Activities, Family And Friends
- Stroke Recovery of Activities of Daily Living & Mobility (RAM) Index

Specialty

Sports Medicine & Rehabilitation
Neurology

Objective

severity
prognosis
stage
disability and performance

ICD-10

G81 - Hemiplegia
I61 - Intracerebral haemorrhage
I62 - Other nontraumatic intracranial haemorrhage
I63 - Cerebral infarction
I64 - Stroke, not specified as haemorrhage or infarction

Info

Purpose: To exam the hip, knee and ankle of a post-stroke hemiplegic patient as part of the protocol developed by Fugl-Meyer.

Specialty: Sports Medicine & Rehabilitation, Neurology

Objective: severity, prognosis, stage, disability and performance

ICD-10: G81, I61, I62, I63, I64,

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