Big Juicy Questions - NM Stroke Course by https://padlet.com/jes150/NMStrokeCourseQuestions Post your big juicy questions here en-us 2021-05-21 18:19:10 UTC 2021-11-14 15:54:19 UTC hello@padlet.com Post your BIG JUICY QUESTIONS jes150 https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1548817597 2021-05-21 18:25:19 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1548817597 what can we do to address sleep issues post stroke? anything other than discussing sleep hygeine and positioning to manage pain? https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1888334968 2021-11-13 15:47:12 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1888334968 Any research on changes in spinal alignment/scoliotic changes due to trunk spasticity post-stroke? https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1888336514 2021-11-13 15:49:00 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1888336514 In one of the studies that you were a part of, what were the 2 outcome measures that are highly recommended but were rarely done? I heard fugl meyer but didn't catch the other one https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1888438517 2021-11-13 17:57:08 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1888438517 What is the recommended way to assess LE proprioception? Is comparing balance on and off compliant surfaces sufficient? https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889297405 2021-11-14 14:48:59 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889297405 I will try to address this in our group discussion but I am including a lengthier answer here. Feel free to reach out if you want to discuss further. What we teach the NUPT students about assessment of proprioception is to assess in the UE and LE. We teach them to use the Thumb Localization Test for the UE (I know your question was about the LE but if you want more info about this, shoot me an email and we can talk). IN the LE, we tell them they can choose either testing by matching (comparing to the un/less involved limb) of asking for a description of the movement (up/down/in/out, etc.). Evidence supports the fact that there is no sig difference in proprioceptive involvement distal compared to proximal in the limbs post stroke, so we suggest picking a distal going with ample PROM to assess and only checking other joints if there is a good reason to suspect additional loss (e.g prior knee surgery). We recommend 6 trials - this is supported by literature. Your suggestion of having a patient on a compliant surface is a good example of a functional test, but I don't think it will allow you to tease out motor/sensory (including touch/pressure sensation) loss from proprioception. It's a worthwhile discussion as to whether that matters, but in terms of targeting intervention, it may. j-sullivan@northwestern.edu jes150 https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889339497 2021-11-14 15:22:09 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889339497 Stroke Rehabilitation Assessment of Movement (STREAM) jes150 https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889369008 2021-11-14 15:46:24 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889369008 not to my knowledge. I have seen NMES used effectively to increase activation of the trunk on the impaired side and increase trunk symmetry/better weight shifting. JS jes150 https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889376879 2021-11-14 15:52:40 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889376879 I appreciated the group discussion on this topic. Issues discussed included referrals to other professionals, activity spacing/modification, sleep logs, education, etc. jes150 https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889378540 2021-11-14 15:54:06 UTC https://padlet.com/jes150/NMStrokeCourseQuestions/wish/1889378540