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7313/7333 Bringman > 3.2 Other SCI issues 2 > Flashcards

3.2 Other SCI issues 2 Flashcards

1
Q

What activity can cause autonomic dysreflexia and why?

A
  • sex

- repeated stimulus your body picks up on

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2
Q

pain considerations

A
  • surgical pain over the site

- radicular pain

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3
Q

SCI and DJD

A
  • quadriplegic at risk for DJD

- happens in the spine because all upper body weight on the spine with no muscular support

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4
Q

Who are UTIs a life-threatening issue for?

A
  • elderly

- SCI pt

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5
Q

Why are UTIs life-threatening?

A
  • won’t feel the pain from a UTI

- by the time it’s really bad, they’ll have fever, achy, malaise. May also have foul odor

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6
Q

What can be caused by a UTI for SCI pts?

A
  • can create additional spasticity if systemic

- autonomic dysreflexia

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7
Q

What increases the risk of getting a UTI?

A

If pt doesn’t have independent bladder control, have an 80% chance of having a UTI at some point

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8
Q

heterotopic ossification in SCI pt

A
  • happens at a higher rate in SCI patient
  • lays down bone inside the joint
  • get drastic, fast decreased in ROM, need to address (pt education)
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9
Q

What is the endfeel for heterotopic ossification?

A
  • bony endfeel

- warm (inflammatory response)

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10
Q

Where would you want contracture in an SCI pt?

A
  • low back

- finger flexors

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11
Q

low back contractures in SCI

A

want tight thoracolumbar fascia

  • over time, it will stretch out
  • the tighter we can keep it, the better our head hip relationship is
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12
Q

What is a major problem with pregnant SCI pts?

A

laxity (esp with thoracolumbar fascia)

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13
Q

How much dorsiflexion does an SCI pt need?

A

10˚

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14
Q

How much hip flexion does an SCI pt need?

A

110˚

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15
Q

Why do we want finger flexors to get tight for an SCI pt?

A

tenodesis grip

- can do passive finger flexion with active wrist extension

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16
Q

finger flexor nerve level

A

C8

17
Q

wrist extension level

A

C6

18
Q

Who gets educated on tenodesis grip?

A

anyone without hand control

19
Q

What can be done for osteoporosis in an SCI pt?

A
  • not a lot we can do about it
  • try standing just for upright, WB, digestion, etc
  • could do some estim
20
Q

benefit to using FES

A
  • may create upflow to cause neuroplasticity just by causing the motion in the body
  • seeing if the spinal cord can heal that way
21
Q

What causes scoliosis in SCI pts?

A
  • seated position
  • muscle imbalances
  • repetitive stress
22
Q

muscle imbalance effects

A
  • affect respiratory status

- wound issues: bony prominences where there wouldn’t be before

23
Q

repetitive stress: what to consider for an SCI

A

think about poor spinal alignment and transfers

24
Q

GI issues for an SCI pt

A
  • don’t have normal motility (higher risk of impaction)
  • upper GI stress ulcers
  • IBS
25
Q

metabolic/endocrine: initially

A
  • typically lose some at the beginning because of decreased muscle mass
  • in therapy a lot, pushed
26
Q

metabolic/endocrine:What can happen when they get home?

A
  • gets out of the house and does things

- stays at home: depression, may find comfort in food

27
Q

low level para calorie burn and strength

A
  • lower level para will burn a LOT of calories

- can get very strong

28
Q

quad calorie burn

A
  • quads don’t have a lot to do to burn calories
  • typically have to cut down on what they eat
  • “quad belly”
29
Q

What does quad weight gain affect?

A

can affect balance and base of support

30
Q

Which types of SCI have decreased cardio function?

A

higher level injuries

31
Q

Why measure based on RPE instead of THR for SCI pts?

A
  • difficult especially with quads

- don’t have much to work with

32
Q

potential autonomic issues for SCI pts?

A

can their body regulate sympathetics and parasympathetics?

7313/7333 Bringman (56 decks)

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