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Disability Specific Considerations - Stroke




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Disability Specific Considerations - Stroke


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Stroke

  • is medically referred to as a cerebral vascular accident (CVA)
  • is the sudden or gradual onset of neurological symptoms caused by a diminished supply of blood to the brain. This can be a result of a lack of blood supply (ischemia ) caused either by an embolus (blockage of an artery) or thrombosis (blood clot) or an accumulation of blood within the skull (thrombosis)
  • most commonly occurs after the age of 65
  • can range from small strokes called transient ischemic attacks (TIA), in which symptoms are reversible to major strokes, in which symptoms may be permanent

Potential Deficit Areas

  • Area(s) of deficits and severity of symptoms depend on the type and location of the stroke
  • Impaired movement and function effecting one side of the body (hemiplegia or hemiparesis)
  • Visual and perceptual deficits
  • Impaired sensation
  • Impaired cognitive ability
  • Emotional or behavioral changes
  • Speech and swallowing problems


Impact on Driving/Transportation

  • A modified vehicle, wheelchair lift or transfer seat may be needed for a person who now requires a scooter or wheelchair for mobility or has difficulty transferring into an unmodified vehicle
  • A driving evaluation will be needed to determine if the person has the cognitive, visual, perceptual and physical ability to return to driving or learn to drive safely. (www.aded.net)
  • This driving evaluation will determine if the individual will be able to drive or not and what if any type(s), of driving equipment they he/she need.

Possible Vehicle Equipment Needs

  • Wheelchair stowage lift and/or transfer seat
  • Lowered floor minivan or full size van with a lift
  • Adaptive driving equipment specifically recommended for their individual physical abilities and custom fit by a certified technician
  • Equipment will vary widely person to person