L15 SCI Wellness

Question 1

Mortality rates for SCI

Answer 1

decreasing for cancer, heart disease, stroke, arterial diseases

increasing for endocrine, metabolic and nutritional

Question 2

Cardiometabolic Disease

Answer 2

Co occurrence of any three of the following

increased waist circumference (>22% body fat)
plasma triglycerides >150
Reduced HDL <40m/50f
Elevated BP >130/85
Elevated glucose >100

Question 3

RF for CMD for SCI

Answer 3

physical deconditioning
decreased energy expenditure
higher systemic inflammatory state

prevalence of CMD in SCI 31 to 72%

Question 4

Eval and Management of CMD in SCI

Answer 4

should be evaluated for CMD risk upon discharge IPR

should be re-evaluated for RF every three years

Question 5

Measuring intensity in SCI patients

Answer 5

BORG RPE should be used in injuries above T6 due to decreased regulation of HR

Question 6

Strength training precautions

Answer 6

avoid IR when >90 of abduction or overhead to limit shoudler impingement

Question 7

Stretching training precautions

Answer 7

use caution with leg stretching due to risk of fx with osteoporosis

Question 8

Pts with neuro diseases are

Answer 8

more likely to be inactive than their peers w/out neuro dx

at a higher risk for health conditions related to inactivity

Question 9

Why should PT be continued to be prescribed after IPR?

Answer 9

helps reduce risk of future injury
can perform reassessment to determine progression or decline
exercise helps improve quality of life
can help create appropriate goals

Question 10

SCI patients complain of lack of accessibility most in the ____

Answer 10

community

Question 11

Barriers for W/C users in community settings

Answer 11

blocked w/c ramps
no elevators
inaccessible toilets
curbs
heavy doors
lack of seating space