class 6: SCI continued

Question 1

what are thee muscle of inspiration

Answer 1

SCM

scalenes

external intercostal

pec major

serratus anterior

Question 2

what are the muscle of expiration

Answer 2

internal intercostals

abdominals - external oblique, TA, rectus abd

Question 3

UMN bladder also known as

Answer 3

spastic bladder

reflexic bladder

Question 4

UMN bladder characteristics

Answer 4

Seen in patients with injury
above S2

a condition where the bladder contracts involuntarily, causing a person to feel the need to urinate even when there is little or no urine in the bladder

Question 5

what is the treatment for spastic bladder

Answer 5

̶Require intermittent catheterization every 3-6 hours

̶ Suprapubic tapping

Question 6

what are the other names for Flaccid Bladder

Answer 6

LMN

Areflexic Bladder

Question 7

what is a Flaccid Bladder

Answer 7

Seen in patient with injury at
or below S2 sacral segments

a condition that occurs when the bladder muscles are relaxed and don’t contract enough.

This can lead to urine retention and overflow incontinence, where the bladder leaks urine.

Question 8

C1-C4 injury transfer level

Answer 8

Transfers - Mechanical lift

WC - power with head/mouth/chin control

Question 9

C5 injury transfer level

Answer 9

Transfers - Dependent sliding board transfer

WC - Manual WC – Plastic coated hand rims

Question 10

C6 injury transfer level

Answer 10

Transfers - Independent sliding board transfer

WC - Manual WC – Plastic coated hand rims

Question 11

C7-C8 injury transfer level

Answer 11

Transfers -
Even: Independent without sliding board
Uneven: Dependent on sliding board

C8: May be able to do Floor to WC

WC - Manual WC – Plastic coated hand rims

C7 - Independent on even surfaces; not
independent on ramps, curbs
C8 - Independent on ramps, curbs

Question 12

T1 injury transfer level

Answer 12

Transfers - Floor to wheelchair

WC - Independent

Question 13

T4 injury transfer level

Answer 13

Transfers - Sitting pivot

WC - Independent

Question 14

L3 injury transfer level

Answer 14

Transfers - Standing pivot

WC - Independent

Question 15

what is Rancho Los Amigos (RLA) Scale used for

Answer 15

a medical tool used to assess the cognitive and behavioral recovery of brain injury patients

Question 16

RLA Levels - 1

Answer 16

No Response, Coma

Question 17

RLA Levels - 2

Answer 17

Generalized response

Non-purposeful whole body, vocal
Inconsistent

Question 18

RLA Levels - 3

Answer 18

Local response

Purposeful

Local and specific

Inconsistent

Follows simple commands –
close eyes, squeeze hands

Question 19

RLA Levels - 4

Answer 19

Confused Inappropriate

• Responds consistently to simple commands
• Responds inconsistently to complex commands
• With structure, able to socialize for short period

Memory: Memory impaired. Inappropriate use of objects. Can’t learn new task.

Question 20

RLA Levels - 5

Answer 20

Confused Appropriate

• Follows simple instruction consistently
• Goal oriented behavior with external input

Memory: Carryover of previous skills present (self-care)

Question 21

RLA Levels - 6

Answer 21

Automatic appropriate

• Oriented in home and hospital
• Daily routine - automatic but robot-like
• Judgement impaired
• Able to initiate social or recreational activity with structure

Question 22

RLA Levels - 7

Answer 22

Purposeful appropriate

• Carryover of new skills present
• Impaired judgement in emergency situation, abstract reasoning and reduced tolerance for stress

Question 23

How to Manage Levels VII, VIII?

Answer 23

• Focus on re-entry to work and community
• Emphasize skills related to problem solving, social interaction
• Trial period of independent living
• Adaptation at work or school to return to normal life