Interventions For Complete Paralysis (2)

Question 1

What are the expected functional outcomes for SCI injuries at C1-C4?

Answer 1

Total assist

Question 2

What are the expected functional outcomes for SCI injuries at C5?

Answer 2

Still requires a great deal of assist

Question 3

What are the expected functional outcomes for SCI injuries at C6-C8?

Answer 3

More independent (may require some assist)

Question 4

What are the expected functional outcomes for SCI injuries at T1-T9?

Answer 4

Independent in all basic mobility (may need equipment)

Gait is variable

Question 5

What are the expected functional outcomes for SCI injuries at T10-L1?

Answer 5

Independent in all basic mobility and gait is more likely

Question 6

What are the expected functional outcomes for SCI injuries at L2-S5?

Answer 6

Independent in all (may need AD)

Question 7

What are the main goals with complete and permanent paralysis?

Answer 7

Compensation or substitution

Question 8

What are some compensatory movement strategies for paralysis?

Answer 8

Muscle substitution

Momentum

Head-hips relationship

Question 9

What are some muscle substitutions used in paralysis?

Answer 9

Synergist, gravity, tension of passive structures, use of closed chain mechanisms in order to lock elbow

Question 10

What is the heads-hip relationship?

Answer 10

Head moves one way and butt moves the other (used to move during transfers)

Question 11

What do you want to strengthen the innervated muscles to in paralysis?

Answer 11

Beyond 5/5 for strength and endurance

Question 12

What do you want to have balanced strength around in paralysis?

Answer 12

Shoulder girdle

Question 13

What are some precautions if paralysis results from damage to C spine?

Answer 13

Avoid strong contraction of shoulder and avoid abduction or flexion >90°

Question 14

What are some precautions if paralysis results from damage to L spine?

Answer 14

Avoid strong contraction of hip and avoid flexing >90°