Protocol for Assessment of Post Stroke Hemiplegic Patient: Hand (C)

Purpose: To evaluate the hand of a post-stroke hemiplegic patient as part of the protocol developed by Fugl-Meyer.

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Evaluation

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

Yes

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Fingers mass flexion

Fingers mass extension

Grasp fingers II to V

Grasp of flexed thumb against 2nd MC

Grasp of thumb to second finger

Grasp about a cylindrical object

Grasp about a spherical object

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score for wrist

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

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 evaluate the hand of a post-stroke hemiplegic patient as part of the protocol developed by Fugl-Meyer.

Specialty: Sports Medicine & Rehabilitation, Neurology

Objective: disability and performance

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

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