expected outcomes - SCI Flashcards

1
Q

what must be done when you think someone has a SCI

A

prompt diagnosis and severity assessment

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2
Q

when does recovery happen in those with incomplete injuries

A

1/2 -2/3 of motor recovery occurs in the first year

most of it occuring in the first 2 months after the injury

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3
Q

is recoverey fast in those with incomplete or complete injuries

A

incomplete

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4
Q

median for anti gravity strength complete

A

2 months

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5
Q

median for anti gravity strength incomplete

A

2 weeks

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6
Q

how many of those who are ASIA B will be ambulatory

A

50%

the prognosis depends on the type of sensory sparing

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7
Q

ASIA B and sacral pin sensation

A

those with sacral pin sensation have a similar prognosis as in those with incomplete motor injury

without sacral pin sensation amb rate vary from 10% - 30%

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8
Q

if you have motor incomplete injury are you expected to recover the ability to amb

A

majority of those with incomplete recovery amb functions

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9
Q

ASIA C amb

A

75% will be community amb

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10
Q

ASIA D amb

A

95% will be community amb

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11
Q

expected outcomes - C1-C4 bed mobility

A

total assist

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12
Q

expected outcome - C1 -C4 power wheel chair

A

indpendent using head, chin, mouth or breath control

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13
Q

expected outcome - C1 -C4 amb

A

no functional amb

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14
Q

expected outcome - C5 bed Mobilty

A

some assist with bed mobilty

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15
Q

expected outcome - C5 transfers

A

total assist with transfers

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16
Q

expected outcome - C5 power wheel chair

A

independent using hand controls

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17
Q

expected outcome - C5 manuel wheel chair

A

assist needed

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18
Q

expected outcome - C5 amb

A

no functional amb

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19
Q

expected outcome - C6 bed mobilty

A

some assist with bed mobilty

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20
Q

expected outcome - C6 transferes

A

some assist

or

indp

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21
Q

expected outcome - C6 power wheel chair

A

indp with power WC with hand controls

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22
Q

expected outcome - C6 manuel WC

A

possiblity of independence

23
Q

expected outcome - C6 amb

A

no functional amb

24
Q

expected outcome - C7-8 bed mobility

A

idep to some assist

25
expected outcome - C7-8 transfers
independent
26
expected outcome - C7-8 maneul wheel chair
independent
27
expected outcome - C7-8 amb
no functional amb
28
expected outcome - T1-9 bed mobility and transfers
indp
29
expected outcome - T1-9 manual WC
indep
30
expected outcome - T1-9 amb
functional amb is not typical
31
expected outcome - T10 -L1 BM and transfers
indep
32
expected outcome - T10 -L1 manual WC
indep
33
expected outcome - T10 -L1 amb
some assist to ind amb typically using KAFO and lofstran crutches or walker
34
expected outcome - L2 -S5 BM and transfers
ind
35
expected outcome - L2 -S5 manual WC
ind
36
expected outcome - L2 -S5 amb
some assist to ind using KAFO or AFO and lofstrands or a cane
37
at what injury level do we expect walking to be attainable
T10-L1
38
power WC ind
C4
39
transfer ind
C6
40
manual WC ind
C6
41
bed mobility
C5
42
what final segment is tenodesis needed till
C8
43
ROM and SCI
greater then normal ROM is needed at some joints and slight tightness is needed at other joints
44
in the absent of triceps what is needed for sitting
shoulder ext and ER supination of the forearms
45
elbow ROM and SCI
full elbow ROM is needed for most functional activities especially for those who lack triceps
46
what is needed for a tenodesis grasp
full wrist ROM mild finger tightness - want to avoid overstretching the longer finger flexors
47
low back and ROM needs
mild tightness is needed for transfers and mat table activties the slump posture in sitting can overstretch the back
48
hip extension and amb
full hip extension is needed for amb
49
how many deg of a SLR is needed for dressing, unlevel transfers and STS with KAFO
11-120
50
how much DF is needed for amb
full DF ROM
51
in bed how often should you turn
every 2 hours
52
in the chair how often should you change positions
20-30 for 2 mins
53
what range can a tenodesis graps be used in
C6 through C7
54
at what level is wrist ext presserved
C6 and below