Rehabilitation

Question 1

Capacity

Answer 1

Persons fullest potential

Question 2

Performance

Answer 2

Level currently at

Question 3

Impairment

Answer 3

When body function is reduced

Question 4

REPAIR - what that is stand for

Answer 4

R - Review of pathology and impairment 
E - Environment 
P - Participation 
A - Activity 
I - Important others 
R - Risk

Question 5

What are Orthosis?

Answer 5

Externally applied device used to control motion of body segment

Question 6

What is the cause for the majority of lower-limb amputation?

Answer 6

Dysvascularity (73%)

Question 7

Transfemoral amputation

Answer 7

Above knee

Question 8

Transtibial amputation

Answer 8

Below knee

Question 9

What is Stump pain?

Answer 9

Pain in residual portion of knee

Question 10

When does Stump pain resolve?

Answer 10

When wound heals

Question 11

What is Phantom pain?

Answer 11

Painful sensation of missing limb

Question 12

How common is Phantom pain?

Answer 12

55-85%

Question 13

When does phantom pain develop?

Answer 13

Few days after amputation

Question 14

How to prevent phantom pain?

Answer 14

Epidural

Question 15

What does the suitability for prosthesis depend on?

Answer 15

Cognitive ability
Motivation
Expectations/goals
Strength

Question 16

What must the patient do when they have received prosthesis

Answer 16

Have extensive physiotherapy

Question 17

Complications prosthesis (5)

Answer 17

P sores 
Skin rashes
Allergies 
Neuroma
Contralateral joint issues

Question 18

What is the ASAI

Answer 18

Disability scale used to determine if a spinal cord injury is complete or incomplete

Question 19

Complete SC injury (ASAI)

Answer 19

No motor or sensory fct below injury Level

Bulbocavernous reflex present

Question 20

Incomplete SC injury (ASAI)

Answer 20

Some preserved fct below injury level

Question 21

Which myotome/dermatome preservation indicates an incomplete spinal cord injury?

Answer 21

S4/5

Question 22

What is the Barthel Index?

Answer 22

Disability scale used to assess performance in 10 ADLs

Question 23

Reflex bladder - where in the injury

Answer 23

Above T12

Question 24

Features reflex bladder

Answer 24

Autonomic control present
No voluntary control
Contracts when @ cert fullness

Question 25

Mx Reflex bladder

Answer 25

Regular tapping Or Int catheter

Question 26

Flaccid bladder -where is injury?

Answer 26

Below L1

Question 27

Features flaccid bladder

Answer 27

No tone | Overflow incontinence

Question 28

Mx flaccid bladder

Answer 28

Int catheter

Question 29

Reflex bowel - where is the injury?

Answer 29

Above T12

Question 30

Features Reflex bowel

Answer 30

Rectal fullness feeling lost Reflex bowel movements Hence empties whenever it feels like it

Question 31

Areflexic bowel - where is injury?

Answer 31

Below L1

Question 32

Features areflexic bowel

Answer 32

Defacation reflex + anal sphincter contraction lost

Question 33

Mx neurogenic bowel (3)

Answer 33

Stimulants Encourage fl + high fibre diet Routine defecation by triggers

Question 34

Who gets autonomic dysreflexia?

Answer 34

SC injury T6 and above

Question 35

PS - pt w/ autonomic dysreflexia (6)

Answer 35

``` Pounding headache Blotching of skin above Cold skin below Sweating HTN (200/100) Decr HR ```

Question 36

What precipitates autonomic dysreflexia?

Answer 36

Full bladder/bowel Skin irritation Sexual activity Minor trauma

Question 37

Pressure ulcer - grade 1

Answer 37

Non-blanching erythema

Question 38

Pressure ulcer - grade 2

Answer 38

Partial thickness skin loss | Confined to dermis

Question 39

Pressure ulcer - grade 3

Answer 39

Full thickness skin loss Damage to SC fat Doesn't extend into underlying fascia

Question 40

Pressure ulcer - grade 4

Answer 40

Full thickness | Extends into bone.tendon/mm

Question 41

Intrinsic RF pressure ulcers (5)

Answer 41

``` Sensory impairment Vascular disease Malnutrition Immobility Co-morbidities ```

Question 42

Extrinsic RF pressure ulcers (3)

Answer 42

Pressure Friction Shear

Question 43

Exacerbating factors pressure ulcers

Answer 43

Skin moisture/incontinence

Question 44

Mx P ulcers

Answer 44

``` SSKIN bundle Surface Skin inspection Keep moving Incontinence/moisture Nutrition ```

Question 45

TBI classification - mild brain injury

Answer 45

GCS 13-14 or LOC <15 min

Question 46

TBI classification mod brain injury

Answer 46

GCS 8-12 or LOC <6hr

Question 47

TBI classification severe brain injury

Answer 47

GCS <8h or LOC >6hr