SCI

Question 1

what is teh ASIA scale?

Answer 1

a scale that dtermeiens level fo injury

Question 2

how is teh ASIA scale completed?

Answer 2

in uspine
trhough
includes sensory and motor exam

Question 3

ASIA - Sensory Testing.

Answer 3

it is required sharp/dull pressure, deep anal sensation
28 key sensory points

Question 4

what ASIA SENSORY scale components are not required?

Answer 4

joint movement
deep pressure (likely wth incomplete)

Question 5

how is the ASIA scale scored?

Answer 5

1- trials i each demonstrates
0-2

Question 6

ASIA motor level is scored by..
\

Answer 6

regular grades
the lowest key muscle with at least a 3/5
everything above must have a 5/5

Question 7

What do we do in the Post Traumatic Phase?

Answer 7

• determined by sevrity of injury
• extent of recovery adn return cannot be guranteed
  -recovery starts within first few weeks
• strangthenging and ahrdwrok may increase fucntion
  ensure aprop rehab goals

Question 8

What is orthostatic hypertension?

Answer 8

high blood pressure

Question 9

what is autonomic dysreflexia?

Answer 9

sensation and pain where sesnsation isn’t oresent

pain goes wher epain shouldn’t go - causing blood pressure to get higher, likely leading to stroke/death/heart attack

Question 10

treatment for C1-C3

Answer 10

inervation: SCM, neck paraspinals and accessory muscles
TOTAL ASSIST
may use AT and w/c with mod indep 0 our role
on a ventilator

Question 11

treaement for C4

Answer 11

inervation: upper trap, diaphgram
scapular movmenet, inpsiration
TOTAL ASSIST - no ventilator

Question 12

treatment for C5

Answer 12

TOTAL ASSIST: bowel/bladder, trasnfers, LB dressing, bathing

PARTIAL ASSIST: feeding, UP dressing, grooming, bed mobiility, positioning with appropriate AT

Question 13

treatment for C6

Answer 13

becomes partial assist

PARTIAL ASSIST: bowel and bladder, feeding, bed mo, LB dressing and bathing, transfers (based on surfaces) , meal prep

Indep: UB dressing, UB bathiing, grooming (based on AT positioning), postioning, power WC mobility

Question 14

treatment for C7/C8:

Answer 14

elbow extension (Manual WC)

PARTIAL ASSIST: bowel and bladder care, bed mob, LB dressing, trasnfers (based on surface), meal prep (dependent on extent)

INDEP: Ub dressing, UB bathing, feeding, grooming (based on AT), positioning, power and manual WC mob

Question 15

Treatment for T1-0

Answer 15

has full UE and partial upper trunk

partial assist: homemaking tasks/ADL’s

switches from quad to para

Question 16

treatment for T10-11

Answer 16

increased trunk stability
varying degrees of leg intervention

partial assist with homemaking tasks/ADLs

Question 17

Treatment for L2-S5

Answer 17

partial paralysis of LE

maybe needs assist, but eh

Question 18

what does paraplegia treatment look like?

Answer 18

• use of arms!
  can use those to compensate for los of LE
  may need support for trunk sitting and balance
  likely will achieve full independence

Question 19

tetraplegiawhat does treatment loook for tetra/quadplegia?

Answer 19

limited /absent use of arms
compensatiosn based on preseved UE motor function
likely will require ongoing support for ADL/I-ADL (higher enjoy more than lower)

Question 20

how can we hlp with bowel and bladder care?

Answer 20

urine dispoal, catherter insertion

Question 21

how does treatment look in the acute care phase?

Answer 21

• spinal and neck movements may be limited due to a brace
• proper postioning for UE
  -splint fabrication
  -UE PROM
• education (client and caregiver0

Question 22

what levels would you use a tenodesis splint for?

Answer 22

C6-7

Question 23

what do we teat in acute care phase directly?

Answer 23

muscle re-education
initate wrist and hand PREs
BADL’S
Begin caregiver education (ADL’S, ROM, pressure relief)

Question 24

what do we treat in active/rehab phase?

Answer 24

• tolerance for upright postioing
  pressure relieving devices
  trasnfer training
  reinforce sitting balance/techniques for ADL/iADLs
  continued PROM
  practie tenodesis
  strengthen muscles!!
  fucntional activites
  implemntation of AT
  d/c planning, psychoscoial support and education