Pediatric Brain Injuries And Spinal Cord Injuries Flashcards
What is salience
The state of being important to the child or adult
Who is more likely to suffer a TBI girls or boys
Boys 2x
What are some brain injury etiology
- CP
- stroke
- AVM rupture
- seizure disorders
- cancer/tumor
- posterior fossa syndrome
- infection
- hypoxia event
How long does it usually take to recover from concussions
1-7 days 64%
5-20% of children who sustain TBI will develop what
Hetertopic ossification
Is the brain more vulnerable earlier or later in childhood
Earlier
Glasgow Coma Scale & Rancho Los Amigos Scale
Assessment for TBI
____ is essential for motor control ,learning and participation
Cognition
What is key for success for intervention for TBI
Consideration of rancho levels
What is the interventions for rancho 1-3
- maintain ROM
- skin integrity
- provide sensory input
What are the interventions for ranchos levels 4-6
- provide strucutre and prevent overstimulation
- engage in task specific training
- safety
- relaxation
- mobility
- work on attention to task
What interventions are used for ranchos levels 7-10
- allow for increased independence when safe
- community re integration with dual task activities , altered surfaces and higher level of balance
55% of cases of traumatic SCI cause what
Tetraplegia
T/f: Spinal Cord Injury Without Radiological Abnormalities is possible in kids
Yes
What is present with UMN injury and LMN linjrury
UMN: present with spasticity
LMN: present with flaccidity and areflexia
What are secondary impairments from SCI (7)
- spasticity
- over use syndromes
- at risk for CV compromise
- NM scoliosis
- pressure ulcers
- contractures and hip dislocations
- fx
What should u educate patients with SCI
- AD
- pressure relief
- hygiene
- bowel and bladder schedule
- sensory impairments
- sings of infection or pian or medical issue
- changes in temp regulation
- provide education age appropriate activities
What ate the assessments for SCI
- ASIA
- ROM and MMT
- spasticity
- SCIM
- SCI-FAI
- NRS (> 12y/o)
What are the general interventions for SCI
- reduce effects of spasticity
- maintain ROM
- mobility
- balance
- aquatics
Do u want to do part task or whole task with SCI
Part
___ + ____= Posture
BOS
Alignment
If they have decreased BOS what should u increased
Mm activity
If they have increased BOS what kind of mm acitvitiy do they have
Decreased
What should u do to the task when the deficit is mm activiation
Increased the demand of the task
