Rehab Principles Flashcards
what are some limiting factors when treating an individual with paraplegia
obesity trunk/arm ratio cognition proprioception fear lack of motivation adjustment issues pain spasticity/tone fractures medical complications
how can you progress wheelchair mobility
challenge with the surfaces and environment
go from level surfaces->carpet–>outdoor
add inclines and turns
when in a wheelchair what contractures are you at most risk of developing
hip and knee flexion contractures
why do you not want to go past 110 degreess with the SLR
This could cause over stretching and you do not want to lost trunk support from the tight back extensors
how long should they hold each stretch
at least 1 min but Amy recommends longer even have them sitting in front of the TV and hold stretch for as long as an episode
what most you practice with the patient so that balance becomes automatic
should practice recovery of balance
the pt. needs to experience loss of balance for it to become automatic
what motions does anterior scooting facilitate
scapular depression and elbow extension
what functional activity does posterior scooting help with
bed mobility
what functional activity does lateral scooting help with
helps with transfers
what is short sit to long sit needed for
dressing which requires 110degrees of SLR
What should you make sure of when practicing “righting” a wheelchair
that the patient is using protective arm mechanisms to guard themselves so that the legs don’t come down and hit them in the face
also make sure that the brakes are on to act as a fulcrum
what are the benefits of standing
maintain ROM regulate bladder, bowel and respiratory function decrease spasticity improve strength increase circulation maintain bone density and skin integrity
what are the risks of standing
risk of fracture
overuse in UE/LE
cost of energy expenditure
unrealistic expectations
