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THER 230 PTA > Exam #2 > Flashcards

Exam #2 Flashcards

1
Q

What is the most common levels for a SCI?

A

-C1-2
-C5-7
-T12-L2
Because that Is where the most mobility/movement of the spine occurs at

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2
Q

What are some common forces for a SCI?

A
  • Cervical rotation
  • Hyper flexion
  • Cervical hyperextension
  • Compression fractures
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3
Q

What is a complete SCI?

A

The complete transection of motor and sensory tracts.

Completely cut

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4
Q

What are 4 types of incomplete SCI?

A
  • Central Cord Syndrome
  • Anterior Cord Syndrome
  • Posterior Cord Syndrome
  • Brown Sequard Syndrome
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5
Q

What types of things do the doctors look at with a neurologic exam?

A
  • Motor strength
  • Level of consciousness
  • Sensation
  • Positioning sense
  • Diaphragm function
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6
Q

C5

A

Deltoid

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7
Q

C6

A

biceps/wrist extensors

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8
Q

C7

A

Triceps

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9
Q

C8

A

Thumb extensor/finger flexors

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10
Q

T1

A

Finger abduction/adduction

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11
Q

L2

A

Hip flexors

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12
Q

L3

A

Quads

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13
Q

L4

A

Dorsiflexors

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14
Q

L5

A

Big toe extensors

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15
Q

S1

A

Plantar flexion

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16
Q

What is Myelopathy?

A

It is Spinal cord process

UMN

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17
Q

What is Radiculopathy?

A

Nerve root process

LMN

18
Q

What is the ASIA? What are the Extremes?

A

A way of grading the severity of the SCI
Extremes:
A = Complete and muscle grade of 3
E = Normal

19
Q

What are some signs of a complete (A) of a SCI?

A

-No sensation
-Flaccid
-Spasticity
If in 24hrs there is no change then there will likely be no change

20
Q

What is spinal shock?

A

Loss of motor and sensory after the trauma

21
Q

What is Neurogenic shock?

A

Involves the sympathetic chain and is associated with autonomic instability

22
Q

What is Central cord syndrome?

A
  • Hyper extension injury or tumor
  • Paresis of plegia of arms more than legs
  • Sensation is affected more in UE
  • Sacral sparing
  • Good prognosis
23
Q

What is Anterior cervical cord syndrome?

A
  • Hyperflexion
  • Motor loss
  • Temperature loss
  • Sacral sparing
  • 50% recovery
24
Q

What Is brown sequard syndrome?

A
  • Half motor loss
  • Half loss of sensation
  • Contralateral loss of pain/temerature
25
Q

Where does the spinal cord end? (what vertebral body?)

A

L2

26
Q

What is apoptosis?

A

After the cells die the body produces chemicals to kill the other cells too. (programmed cell death)

27
Q

What are the morbidity factors and %?

A
  • Pressure ulcers = 25%

- Pneumonia = 13%

28
Q

What is the leading cause of death for someone with a SCI?

A
  • Pneumonia
  • Pulmonary embolism
  • Sepsis
29
Q

What is autonomic dysfunction/dysreflexia?

A

-Problems with the autonomic nervous system affecting people with T6 and above

30
Q

What is neuropathic spinal pain?

A

It occurs below the level of injury, Like phantom limb.

Due to unstable spine or cyst

31
Q

What is hypertrophic bone formation? and signs

A

It is the formation of new bone in muscle

SIGNS: Loss of ROM, Swelling, fever

32
Q

How can spasticity be good for someone with a SCI?

A

It can be good with assisting in mobility and transfers, improves circulation, decreases risk of DVT

33
Q

What is a name of a medication that a SCI patient will take?

A

Baclofen

34
Q

If someone was C1-3 What are some functional goals?

A
  • Patient is on ventilator
  • Able to move head
  • Sip and puff W/C
35
Q

If someone is a C3-4 What are some functional goals?

A
  • Sip and puff W/C
  • Spend time off ventilator
  • Deep breathing exercises
36
Q

What are some functional goals for someone with C4?

A

-Using multiple communication devices

37
Q

Goals for C5?

A
  • Power chair

- Use computer mouse

38
Q

Goals for C5?

A
  • Driving a car

- Manage own health care

39
Q

Goals for C6?

A
  • Almost totally independent
  • Feeding
  • Bathing
  • Power chair
40
Q

Goals for C7?

A
  • Manual chair
  • Pressure relief abilities
  • Independent
41
Q

Goals for C8?

A
  • Sports chair

- Independent

42
Q

Goals for T8?

A
  • Walking with long leg braces

- Swing through gait

THER 230 PTA (11 decks)

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