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Rehab Eval > Misc. for midterm > Flashcards

Misc. for midterm Flashcards

1
Q

an injury at what level results in a flaccid/areflexive bladder?

A

below T12

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2
Q

does voluntary urination occur with a flaccid bladder?

A

no

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3
Q

how does urination occur with a flaccid bladder?

A

through supra pubic pressure or cathetorization

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4
Q

an injury at what level results in a spastic bladder?

A

any injury above T12

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5
Q
  • involuntary loss of urine with local stress/pressure
  • hypermobility and displacement of urethra during exertion
  • weakness pelvis floor mm
A

stress incontinence

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6
Q
  • involuntary loss of urine associated with strong desire to void
  • often involuntary and hyper reflexive detrusor
A

urge incontinence

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7
Q
  • involuntary loss of urine when intra vesicular pressure exceeds maximal urethral pressure, absence of detrusor activity
  • bladder distension with absence of absence of detrusor mm activity
A

overflow incontinence

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8
Q
  • coordinated activity between the detrusor muscle and the external sphincter may be affected
  • lesions that affect the micturition center in the brainstem or impair communication with center
  • instead of relaxing during micturition, the external sphincter becomes more constricted which can lead to increasing pressure and back up into the kidneys
A

detrusor sphincter dyssynergy

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9
Q

what occurs to the bladder initially following a SCI?

A
  • all reflexes are depressed including micturition due to spinal shock
  • bladder is atonic and cannot contract
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10
Q

how long does the period of spinal shock/atonic bladder last?

A

1-2 months

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11
Q

breathing strongly out of mouth while holding your nose closed

A

vasalva’s maneuver

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12
Q

name the 4 types of program evaluation.

A
  • formative
  • process
  • impact
  • outcomes
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13
Q
  • used when programs are in newly developed stages
  • when determining what programs need to be used - for programs before broader use (such as in other departments or parts of a system)
A

formative program evals.

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14
Q
  • for operation of program components - does it work as designed?
  • this is for currently running programs to determine whether they work and how they were designed to work
A

process program evals.

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15
Q
  • measures effectiveness of program
  • may be used to determine whether stroke rehab program really helps people be more independent from the time they are admitted in hospital to the time they are discharged
A

impact program evals.

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16
Q

-short and long-term results of program

A

outcomes program evals.

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17
Q

where the power comes from for the chair

A

drive location

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18
Q

___ ___ is related to how powerful the chair is and where the power wheel lies in relation to the person/seat.

A

drive location

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19
Q
  • good for slippery services and obstacles

- overkill for indoors or in tight spaces - will rip up carpet over time

A

front wheel powered w/c

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20
Q
  • has casters in the front and in the back
  • the power/main wheel lies where the center of the person typically is
  • great compromise
A

mid wheel powered w/c

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21
Q
  • where the motor attaches to the wheels and where the turning occurs
  • works good for flat or even terrain
  • not good for slick surfaces or rough terrain
A

rear wheel powered w/c

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22
Q

t/f - there are brakes on powerchairs.

A

false - you let go of acceleration and it slows down

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23
Q

how we have done rolls with pts. who are hemiparetic

A

segmental roll

24
Q

roll that usually requires 2 or more people

A

log roll

25
Q

the moment you pt your hands on a patient, it becomes __ __.

A

min A

26
Q

the moment you need 2+ people to transfer, it becomes __ __.

A

max A

27
Q

you can get a stage 1 ulcer in how many minutes?

A

15 minutes

28
Q

an open wound ulcer equals which stage?

A

stage 2

29
Q

what does the inner cannula attach to?

A

the ventilator

30
Q

erection becomes ____ after SCI.

A

reflexive

31
Q

tetraplegia involves impairment or loss of motor and sensory function in the ____ segments of the spinal cord.

A

cervical

32
Q

paraplegia involves impairment or loss of motor and/or sensory function in which segments of the spinal cord?

A

-thoracic, lumbar, or sacral

33
Q

where does heterotopic ossification occur most often?

A

hip joint

34
Q

FIM is not meant to be used as an ___.

A

eval

35
Q

what is someone’s score on the FIM if they use AT or adaptive equipment?

A

6

36
Q

what is someone’s score on the FIM if they are fully independent?

A

7

37
Q

where do we measure pelvic obliquity from?

A

measure from ASIS (not iliac spine!)

38
Q

why do we do a supine position assessment for w/c selection?

A

to assess the actual potential to achieve optimal seated position

39
Q

why do we perform a seated position assessment for w/c selection?

A

to see what happens when you add gravity

40
Q

___ ___ usually goes hand in hand with posterior pelvic tilt?

A

lumbar flexion

41
Q

if the lower and upper thighs are not aligned in a seated position, it indicates what?

A

IR/ER at the hip

42
Q

if ___ ___ is a fixed deformity, you will need to get a foot rest that accommodates that.

A

plantar flexion

43
Q

the lower the backrest, the ___ the trunk control the person has.

A

stronger

44
Q

around what age is when you could start thinking about getting a powered mobility chair for a child?

A

2 y/o

45
Q

what is the only flexibility aspect of a low end (k0003) w/c?

A

arm rests

46
Q

what does recline alter?

A

only the back rest angle of the trunk to the thigh changes

47
Q

how must the pelvis be in order to recline?

A

posterior pelvic tilt

48
Q

what moves in a tilt in space position?

A

seat and back rest both move in that position

49
Q

name 2 benefits of tilt in space.

A
  • keeps pt. in their optimal position.

- better for pressure relief than recline

50
Q

if someone has low tone how should their w/c cushion be?

A

should have more contour

51
Q

if someone has high tone how should their w/c cushion be?

A

don’t need as much of a contour

52
Q

softness of a cushion provides less ___ ___.

A

postural control

53
Q

side that they curve to

A

concave side

54
Q

on the concave side (lateral supports), you want to support ___ the point of impact.

A

above

55
Q

on the convex side (lateral supports), you want to support ___ the point of impact.

A

below

56
Q

a fish scale is only used for what?

A

pull doors

Rehab Eval (13 decks)

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