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
Q

expected outcome - C7-8 transfers

A

independent

26
Q

expected outcome - C7-8 maneul wheel chair

A

independent

27
Q

expected outcome - C7-8 amb

A

no functional amb

28
Q

expected outcome - T1-9 bed mobility and transfers

A

indp

29
Q

expected outcome - T1-9 manual WC

A

indep

30
Q

expected outcome - T1-9 amb

A

functional amb is not typical

31
Q

expected outcome - T10 -L1 BM and transfers

A

indep

32
Q

expected outcome - T10 -L1 manual WC

A

indep

33
Q

expected outcome - T10 -L1 amb

A

some assist to ind amb

typically using KAFO and lofstran crutches or walker

34
Q

expected outcome - L2 -S5 BM and transfers

A

ind

35
Q

expected outcome - L2 -S5 manual WC

A

ind

36
Q

expected outcome - L2 -S5 amb

A

some assist to ind

using KAFO or AFO and lofstrands or a cane

37
Q

at what injury level do we expect walking to be attainable

A

T10-L1

38
Q

power WC ind

A

C4

39
Q

transfer ind

A

C6

40
Q

manual WC ind

A

C6

41
Q

bed mobility

A

C5

42
Q

what final segment is tenodesis needed till

A

C8

43
Q

ROM and SCI

A

greater then normal ROM is needed at some joints and slight tightness is needed at other joints

44
Q

in the absent of triceps what is needed for sitting

A

shoulder ext and ER

supination of the forearms

45
Q

elbow ROM and SCI

A

full elbow ROM is needed for most functional activities especially for those who lack triceps

46
Q

what is needed for a tenodesis grasp

A

full wrist ROM

mild finger tightness - want to avoid overstretching the longer finger flexors

47
Q

low back and ROM needs

A

mild tightness is needed for transfers and mat table activties

the slump posture in sitting can overstretch the back

48
Q

hip extension and amb

A

full hip extension is needed for amb

49
Q

how many deg of a SLR is needed for dressing, unlevel transfers and STS with KAFO

A

11-120

50
Q

how much DF is needed for amb

A

full DF ROM

51
Q

in bed how often should you turn

A

every 2 hours

52
Q

in the chair how often should you change positions

A

20-30 for 2 mins

53
Q

what range can a tenodesis graps be used in

A

C6 through C7

54
Q

at what level is wrist ext presserved

A

C6 and below