intro to SCI Flashcards
what is the most common injury for cervical SCI?
hyperextension
what is the most common cause of neuro damage in thoracic region?
flexion rotation
which outcome measure is more response to change for SCI?
SCIM
which outcome measure assess risk of injury and overuse?
transfer assessment instrument
which level is the conus medullaris at?
L1/L2
what is spinal shock?
transient, flaccid period
no reflexes below level of injury
what indicates the end of spinal shock?
return of anal bladder reflexes
spinal cord reflex center for bowel & bladder function
S2-4
bowel program for reflexive bowel
suppository inserted followed digital stimulation
bowel program for areflexive bowel
manage diet & fluids
manual evacuation
bladder program for reflexive bladder
unable to empty
intermittent catheterizations
fluids monitored
bladder program for areflexive bladder
timed voids
fluids monitored
which sex’s fertility rate is unaffected by SCI?
female
autonomic dysreflexia occurs with lesions above ____
T5 or T6
what causes autonomic dysreflexia?
release of NE at ganglia sympathetic NS no longer under effective SC control
patients with SCI have ____% higher mortality risk for CV disease
228%
____% of chronic SCI have DM
50%
T/F: the level of injury is related to the ability to adjust psychologically
F!!
what are Gardner- Wells tongs for?
provides traction to minimize movement and decompress C spine
used when awaiting surgery
what is Halo vest for?
traction
eliminates C spine movement
early OOB activities
DO NOT make adjustments
what is the least restrictive orthopedic stabilization of c spine?
Philadelphia collar
where does the body jacket span?
sternum to caudal to iliac crests
what is a less restrictive option for TL stabilization than a TLSO?
Taylor-Knight brace
(can have clavicle and scapular extension)
what is the least restrictive option for TL stabilization?
Jewett hyperextension brace
(resists flexion)
stretches to avoid for C spine injuries
shoulder flexion and abduction
stretches to avoid for L spine injuries
SLR
hip flexion >90 deg
what is the most important factor for shoulder overuse related to SCI?
length of time is predictive (not LOI)
