class 7: my SCI notes Flashcards
C1 -C8: amb?
not indicated
T1 - T9: amb?
not functional
walk for exercise
T10 -L1: amb?
functional
some assist with KAFO’s and walker/forearm crutches
may choose wheel chair for primary mobility
L2 - S5: amb?
functional independent to some assist
KAFO’s or AFO’s
walker to cane
homuculus - feet
lateral portion of the brain
homuculus - hands
medial of the outer portion
homuculus - face
end of the outer portion
what is the acute time for stroke
1 month
what is the subacute stage for a stroke
1-6 months
what is the chronic stage for a stroke
6 months post dtroke
what is dysmetria
coordination issue
overshooting and undershooting
nose to finger test
what is hypokinesia
slowness in inciting movement
what is emergency stroke medicines
TPA
when shoudl TPA be used
within 4.5 hours of the first symptoms
what are cervical precautions
no excessive movements - bending or twisting
Miami J or aspen collar even when in bed
no active shoulder abd past 90-deg - PROM allowed as long as head and neck are supported
no lifting greater then 5 lbs
no pillow under head - avoid putting patient into flexion
TLS precuations
no excessive bending lifting and twisting
no lifting greater then 10 lbs
no hip felxion past 90-deg
no HOB > 30-deg unless the brace is donned
OOB with TLSO
TLS preacustion - bed transfers
log rolling only
conus medullaris syndrome - UMN or LMN
combo of both
conus medullaris syndrome - presention
variable degree of LE weakness
flaccid paralysis of LE
areflexic bowel and bladder
saddle anethesia
what do we do in the presence of autonomic dys
sit pt up
remove binder and compression stocking
look for stimulus
AD is seen in what patients
T6 and above
what can AD lead to
stroke or death
C1-4 activities
total assist - mobility and bed transfers
independent with PWR WC - chin, breath, mouth
no functional amb
what is the first level where we might have functional amb
T 10
C5: activities
bed mobility - some assist
transfer - full assist
PWR WC: independent, w/ hands
manual: some assist
no functional amb
C6: activities
bed mobility - some assist
transfers - some assist
PWR WC: independent w/ hands
manual: possible independent
no functional amb
C7-C8: activities
bed mobility - ind to some assist
transfers - ind
manual WC - ind
functional amb - no
T1-9 activities
bed mobility - ind
transfers - ind
manual WC - ind
functional amb - not typical, exercise
T10 - L1activities
bed mobility - idep
transfers - indep
manual WC - indep
functional amb - some assist to indep amb with KAFO and lofstrand or WW
L2 - S5 activities
bed mobility - indep
transfers - indep
manual WC - indep
functional amb - some assist to indep amb with KAFO or AFO and lofstrand or WW
what do we want to avoid with tendoesis
stretching the fingers into extension
tendoesis in used in what pt’s
C7 and higher
how often should someone be turned in bed
every 2 hours
when is the CTSIB terminated
whenever there is a postural sway
arms or feet position changes
how many trails is the patient allowed per position
2
ankle strategy: perturbations
small, slow, near midline
ankle strategy: muscle activation
distal to proximal
Ankle strategy: muscle groups activatied
opposite
forawrd sway: gastroc, hamstrings, paraspinals
backward: tib ant, quads, abd
HIP strategy: perturbations
large
HIP strategy: muscle activation
proximal to distal
HIP strategy: muscle groups activated
same
forward sway: abds, quads, tib ant
backwards sway: paraspinal, hamstring, gastroc
what are our two type of protective strategies
stepping: when COM exceeds BOS
or
grasping
