Red Flags & Special considerations

Question 1

PD Red flags

Answer 1

• Depression
• Anxiety
• Loss of expression
• Increase of rigidity in off periods
• Increase risk of fall

Question 2

MS Red flags

Answer 2

• Sudden increase in muscle tone
• Seizure
• Depression (MH issues)
• Loss of sight (visual field)
• Apparition of new plaques
• Fatigue (how much can you do?)

Question 3

ABI- UL - Red flags & special considerations

Answer 3

• Shoulder luxation/sub-luxation (concern for positioning & transfer)
• Loss of mobility & SHS related to positioning
• Increase of muscle tone by repetitive mvt against resistance with patient with spasticity
• Reduces activity & immobility
• Co-morbidities

Question 4

ABI - LL - Red flags & special considerations

Answer 4

• Loss of postural control due to inappropriate use (or non use) of necessary KPC
• insufficient offert of support possibilities for patient with low postural control &/or endurance
• Lack of provided support during activities
• Inappropriate footwear
• Excessively challenging environment for patient
• Complexity of activities (standing or gait) for patient with severe cognititve imp

Question 5

RF/special consideration

SCI - Positioning

Answer 5

• lack of positioning => demato, msk & resp complications

Question 6

RF/special consideration

SCI - Transferts & mobility

Answer 6

• Loss of balance during transfers due to inappropriate stabilization
• Loss of postural ctrl due to inappropriate use of KPC
• Incorrect management of Head ctrl
• Negligence of safety (when using WC WA..)
• ** In Acute spinal fracture => Trunk rotation & torsions**

Question 7

RF/special consideration

SCI - Related to therapy

Answer 7

• Fractures or dislocations due to overstretching
• Injuries to UL (overuse) => Impair independance

Question 8

RF/special consideration

SCI- Behavior & awarness deficits

Answer 8

• Depression
• Agression
• Anxiety
• Side effect of medication

Question 9

RF/special consideration

SCI - Other domains

Answer 9

• Repiratory : Decrease of capacity => infection
• DVT <= due to reduced use of affected limb
• Contractures <= due to immobilisation
• PI

Question 10

DOC - Red flags & SC

Answer 10

• Improper use of monitoring equipment (HR,RR,BP)
• Lack of mobility => MSK, respiratory & vascular comorbidities
• Low variatioins in positioning => dermatological (PI) & MSK complications
• Issues w/ communication btw medical staff & care givers
• Inappropriate precautions related to hygiene & contamination risk for patient &/or therapist

Question 11

Main immediate signs of severe encephalic injury

Answer 11

• Convulsion
• Somnolence
• Worsening HD
• Diplopia
• Vomiting
• Personality changes
• Disorientation
• Memory gasp or amnesia

Question 12

Doc complications

Answer 12

• Central fever
• Bladder (UTI, bladder stones..)
• Bowel (constipation)
• Corneal eye damage
• Heterotrophic ossification
• Joint swelling/oedema