Case 2: SPinal Cord Injury Flashcards
What is autonomic dysreflexia
Potentially life-threatening condition that is triggered by a painful stimulus below the level of the SCI
What is autonomic dysreflexia characterized by
- headache
- elevated blood pressure
- bradycardia/tachy
- flushing above the level of injury
What is heterotopic ossification
Development of new , ectopic bone within soft tissues around peripheral joints
What is the general PT POC/goals for a SCI
- promote independence with mobility
- promote QOL
What is the PT interventions for SCI
- fam education
- mobility training (balance , transfer training , wheelchair skills , upright mobility)
- stretching and strengthening
- strtching mm below level of injury to prevent contractures
What is the precautions during PT for a SCI
- monitor signs/symptmoms of AD
- care when transferring to prevent fractures due to decreased bone mineral density
- orthostatic hypotension
What are complications interfering with PT for a SCI patient (8)
- AD
- long bone fx
- scoliosis
- hip subluxation/disloaction
- skin breakdown
- orthostatic hypotension
- contractures
- spastic
What is the purpose of the spinal cord independent measure (SCIM)
Purpose of ability assessment , outcome assessment and treatment goal determination
Who is the SCIM used on
Patients with SCI , ages 13 and older
What shows greater sensitivity to changes in function .. the spinal cord independence measures or the functional independence measure
SCIM
The Spinal Cord Independence Measure (SCIM) is a reliable and valid tool to assess and track functional independence in individuals with SCI.
True
What kind of standing program may help prevent loss of bone mineral density in people with acute SCI
60 minutes per day
5 days per week
T/F: Cycling with lower extremity functional electrical stimulation (FES) and/or neuromuscular electrical stimulation (NMES) increases lower extremity muscle volume in children with SCI.
True grade b
what is the potential for spinal cord injures without radiologic abnormalities (SCIWORA)
- kyphoscoliosis in young child
- disapoportionately large head relative to the child’s body
- horizontally oriented facet joints in child
Which tests is used to determine the level and severity of SCI in the pediatric population
International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)
What is a common cause of AD
Distinction of the bowel or and bladder
What kind of pateint is AD most commonly experienced by
SCI at or above T6
AD is charterxied as increased in BP and what kind of HR
Brady or tachy
