3.3- Guest Lecture/Spinal Cord

Question 0

What are a few special considerations? Name a few

Answer 0

upright tolerance/orthostatic hypotension
spasisticity
emotional
bowel/bladder/sexuality
sensation/pain
adaptive equipment
life changing events

Question 1

what are some areas of focus when it comes to spinal cord injuries?

Answer 1

ROM
Strenthening
balance
transfers
bed mobility
locomotion
skin management
respiratory function
education

Question 2

When it comes to ROM considerations, what are a few areas to watch for?

Answer 2

low back- don’t overstretch
neck-as normal as possible within orthopedic constraints
shoulders-normal ROM in all motions
elbows-full ext, normal or near normal flexion
forearms/wrist-normal all motions
hips-full ext,normal flex
hamstrings-110-120 degrees of passive SLR
knees-normal ext
ankles-at least 10 degrees of df

Question 3

Why sould we not over stretch low back?

Answer 3

Because the low back tightness provides trunk support

Question 4

Why is it important to not overstretch fingers?

Answer 4

in abesnce of functioning fingers, mild tightness in finger flexors provide functional grip (tenodesis)

Question 5

what 4 things should we consider when we strengthen?

Answer 5

1. Keep joints a balanced as able
2. strengthen all innervated muscles in variety of positions
3. consider prone when able/not contraindicated
4. closed chain/open chain

Question 6

Name a few balance activities

Answer 6

1. long sit
2. short sit
3. alternate positions-side lying on elbow, spine on elbow, one leg off mat, quadruped, tall kneel
4. static to dynamic
5. challenge in all positions

Question 7

Name a few benefis of standing

Answer 7

bone density
spasticity management
bowel/bladder
emotional

Question 8

Transfer training

Answer 8

1. slide board
2. lateral without SB
3. dependent
4. floor, lateral, posterior, anderior approach, dependent lift, scoop
5. car
6. shower/commode

Question 9

What are a few things about skin management

Answer 9

frequent positioning
teach pressure relief
turning in bed
skin inspection
education
coushions

Question 10

Why should the bed not be postioned higher than 30 degrees?

Answer 10

the more forward it makes the patient sacral sit and the sheering force of them sliding down the bed

Question 11

What respiratory complication in the #1 cause of death after a spinal cord injury?

Answer 11

Pneumonia

Question 12

What can be done to help prevent pneumonia?

Answer 12

1. Strenghtening ex
2. abdominal binders
3. resisted ex
4. assisted cough
5. strengthen accessory muscles

Question 13

Education is the _________ to ____________

Answer 13

key to success

Question 14

Who do you educate?

Answer 14

Patient, family, caregivers

Question 15

What do you educate them on?

Answer 15

direct care and all complications