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Neuromuscular Control > Acute Spinal Cord Injury > Flashcards

Acute Spinal Cord Injury Flashcards

1
Q

What are the ABCs of a spinal cord injury?

A

Airway

Breathing

Circulation

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2
Q

What is spinal shock?

A

Worse neurological damage than in reality for a brief period after injury

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3
Q

Why are high doses of methylprednisolone used in SCI?

A

Inhibit inflammation (within first 8 hours)

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4
Q

What do you want to do with BP in SCI patients?

A

Keep it up

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5
Q

What should be done post SCI immediately?

A

Stabilize the spine and management of fractures

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6
Q

What is used for fracture management?

A

Traction of C spine (halo and tongs)

Positioning

Orthoses

Surgery

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7
Q

When should surgery be considered after a SCI?

A

When fracture is unstable

Malalignment

Continued cord compression

Worsening Neuro status

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8
Q

What is an advantage of early surgery after SCI?

A

Get mobility sooner (within 72 hours)

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9
Q

What is an advantage of late surgery after SCI?

A

More medically stable

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10
Q

What are complication with anterior surgery approach post SCI?

A

Effects swallowing, respiration, and speech

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11
Q

What are complication with posterior surgery approach post SCI?

A

Cannot do any lifting, pushing, or pulling with arms due to cutting through scapula

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12
Q

What are the implications of fusion surgery?

A

Loss of ROM and function

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13
Q

What is lost in SCI?

A

Muscle pump to aid with venous return

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14
Q

Orthostatic hypotension

A

Drop in BP > 20 mmHg systolic and > 10 mmHg diastolic within 3 minutes of supine to upright

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15
Q

What are causes of Orthostatic hypotension?

A

Decreased vasoconstriction

Decreased venous return

Dehydration

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16
Q

What are presentations of Orthostatic hypotension?

A

Pale, sweating, dizziness, nausea, lightheaded, blurry vision, and shortness of breath

17
Q

What is used to manage Orthostatic hypotension?

A

Abdominal binder

Meds

Initial mobilization

Tilt table

Hydration

18
Q

What are musculoskeletal complications that happen with SCI?

A

Osteoporosis

Hetertopic ossification

Spasms/spasticity

19
Q

How can you treat osteoporosis?

A

Ambulation, prolonged standing, and e stim

20
Q

What is hetertopic ossification?

A

Abnormal bone growth as a result of immobility

21
Q

What is treatment of hetertopic ossification?

A

ROM, NSAIDs, and surgery

22
Q

Why is positioning important post SCI?

A

Prevent skin breakdown

Improve breathing

Improve flexibility and prevent contractures

Normalize BP

Manage spasticity

23
Q

Why would you want someone with a SCI to have mild tightness of back extensors?

A

Helps with transfers

24
Q

Why would you want someone with a SCI to have excessive extension and ER of shoulders?

A

Helps with transfers

25
Q

Why would you want someone with a SCI to have tight long finger flexors?

A

To help them grip when they can’t control hands

Neuromuscular Control (41 decks)

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