Evalutation and Interventions for individiuals with tetraplegia

Question 1

what is are the common subsitutions

Answer 1

shoulder flexion- shoulder shrug
elbow extension- shoulder ER and forearm supination + gravity
wrist extension- forearm supination + gravity
wrist flexion- forearm pronation + gravity

Question 2

What distinguishes ASIA B from ASIA C

Answer 2

VOLUNTARY ANAL CONTRACTION (VAC) this bumps you from a B to a C because it is motor based

Question 3

what are the functional expectations and goals for a C3/4 level of injury

Answer 3

going to need help with pretty much everything
maybe independent in power chair with us of sip n puff
use a tilt table/standing frame for standing
directs others for PROM, bed mobility, pressure relief, transfers

Question 4

functional expectations and goals of C6 level of injury

Answer 4

moderately independent with bed mobility in hospital bed, transfers on level surfaces
independent with pressure relief and manual w/c indoors
performs PROM
no ambulation

Question 5

functional expectations and goals for C5 level of injury

Answer 5

mod-max A with bed mobility
directs pressure relief, transfers and PROM
independent with power w/c with hand controls

Question 6

Functional expectations and goals of C7/C8 level of injury

Answer 6

independent with bed mobility, pressure relief, transfers and w/c mobility on all surfaces, LE PROM

Question 7

categories of interventions to work on with individual with tetraplegia

Answer 7

sitting balance
wheelchair assesment
ROM/strength
functional mobility
skin checks
respiratory interventions

Question 8

how can you help someone with rolling

Answer 8

give them a mechanical advantage by placing a wedge under the opposite side