Early Rehab Of Trunk And Lower Limb Flashcards
How do you progress sitting balance
If a patient has hemipegia they may lean to unaffected side and compensate with this side, or they might fall to affected side
What do we need to do to progress sitting balance
Realign trunk and strengthen affected side, improve quality of movement
What’s autonomic dysreflexia
Autonomic dysreflexia is a syndrome in which there is a sudden onset of excessively high blood pressure. It is more common in people with spinal cord injuries that involve the thoracic nerves of the spine or above (T6 or above)
What muscles stabilise the trunk
transversus abdominis . rectus abdominis
How to practice trunk work as a treatment rather than assessment
Two people, one on pelvis one on trunk, try to actively involve arms, try with a gym ball behind and the patient sitting on gym ball
Which side can you transfer a hemiplegic patient too
Either towards affected or unaffected side
How are transfers different with a SCI patient
Make sure patient engages, bring legs with patient
What benefits of standing for the patient
Motivating, strengthening muscles, circulation, weight bearing, balance,
How to do sit to stand transfer
Remember the knees need blocking, check blood pressure because it drops when you stand and may cause passing out
Potential problems to a sit to stand transfer
BP/ HR, autonomic dysreflexia, bowel/bladder, respiratory dysfunction, sweating
What are the advantages of mechanical standing aids
Conform to manual handling guidelines, allow early rehab of heavy patients, allow rehab of very disabled patients, allows for grading movement, require fewer better, need to be in their personal space
Disadvantages of mechanical standing aids
Activity level is restricted by equipment, not normal sensation of standing, reduced feedback to therapist
