SCI Flashcards

1
Q

most common cause of SCI in the philippines

A

falls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

general goals for acute and subacute rehab

A

prevent secodnary complications

neurorecovery

maximizing function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

general goals for chronic rehab

A

compensatory or assistive approaches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the usual secondary complications

A

contractures

atrophy

bed sores

orthostatic HTN

unstable BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

objectives for SCI rehab

A

improve indep in ADLs

help accept new lifestyle - sexua;, recreational and housing

aid in societal reintegration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when should SCI rehab start

A

once medically stable and able to tolerate rehab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

strength for starting SCI rehab once medically stable and able to tolerate rehab

A

weak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

newly acquired SCI should be managed by _____

A

multidisciplinary team

PT + specialized ICU unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

strength for newly acquired SCI should be managed by PT + specialized ICU unit

A

strong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

_____ management is crucial in acute stage

A

respiratory management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

quiet inspiration

A

diaphragm and external intercostals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

forced inspiration

A

scalenes

SCM

pectorals

upper traps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

quiet expiration

A

passive elasticity or recoil of lung

muscles are relaxed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

forced expiration

A

rectus abdominis and internal intercostals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

respiratory damage in cervical SCI

A

prob in inspiration and expiration - phrenic nerve damage

quadriplegia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

respiratory damage in thoracic SCI

A

prob in expiration and coughing - long thoracic nerve of rectus abdominis damage

paraplegia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

discuss assisted coughing

A

pushing in or out the rectus abdominis

inhale, hold, cough then press 2x

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

discuss deep breathing exercises

A

inhale sa nose and exhale sa mouth

provide tactile and verbal fback

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

discuss glossopharyngeal breathing

A

swallowing or gulp air to dec lung volume

mema evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

air shift maneuver

A

direct air towards hypoventilated areas

apple pressure to area in chest and tell pt to imagine air flowing there

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

resistance exercises for diaphragm

A

pwd weights pero weird

usually sucking or blowing on breathing apparatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

discuss use of abdominal support in respiratory management

A

helps exhalation by maintaining alignment of abdominal organs and diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

stretching of chest muscles for respiratory management

A

pectorals - chest expansion

pwd din neck msucles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

strength for respiratory muscle training

A

weak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

strength for using abdominal binders to improve lung volume

A

weak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

strength for targeted postural drainage and assisted coughinh

A

strong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

strength for deep breathing and air stacking

A

weak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

initial precautions for UE PROM

A

shoulder flexion and abd should not go beyond 90°

can influence movement of cervical spine in acute cases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

use of UE ROM in chronic stage

A

pwede may lengthened or shortened

shoulder, elbow and wrist hyperext - supported sitting

shortened long finger flexors - tenodesis effect

contracture flexion of fingers - hook grasp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

UE PROM should be what type of movement

A

bilat symmetric

assym can cause spine to move assym

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

initial precautions for paraplegia LE PROM

A

unitl 60° SLR

until 90° hip flex with knee bent

until cleared bawal pa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

once cleared motions need to be developed for paraplegia LE PROM

A

hyperext of hips - jack knife and tripod for BAC

ER of hips - reach feet

pflexor tightness - avoid as it hinders gait

slight back ext tightness - stab in sitting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

discuss selective stretching

A

hams - 110-120°; bed mob and transfers

hip IR - reach feet, dressing of LE garments

34
Q

discuss selective shortening

A

finger flexors - tenodesis

back ext - postural in sitting

35
Q

strength of long duration stretch and pos stretch

A

weak pero pwede padin daw long duration

36
Q

strength of PROM, AAROM, passive standing, splinting in treating and preventing loss of ROM

A

weak

37
Q

complications and contraindications of PROM

A

assoc unstable fx

DVT

HO

osteporosis

38
Q

strength training is applicable to

A

innervated or partial innervated

39
Q

NMES is for

A

partially innervated muscles and muscle strengthening or reeduc

40
Q

ES is for

A

retard atrophy pero later on no effect na

41
Q

significance of endurance training

A

dapat kaya ni pt yung transfers or functions ng paulit ulit

42
Q

principles of strength training

A

overload

SAID

reversibility

43
Q

relate spasticity and strength training

A

pt educ about antagonist spasticity- kase ma ffeel nya pag mag spastic

strengthening will not inc spasticity

44
Q

discuss muscle substitution

A

reversed origin-insertion: lats at trunk stab via pelvic hiking

orthosis - pag wala muscle to sub; anke bracing to faci DF

surgical - re attach or transfer muscle OI

45
Q

effects of alcohol abuse in exercise

A

muscle weakness kasi it inhibits calcium binding = panget contraction

46
Q

effects of steroids in exercise

A

chronic use leads to atrophy of type 2 fibers

47
Q

effects of anti spasticity meds in exercise

A

baclofena diazetab - acts on SC and not muscle

dantrolene sodium - acts on muscle hence it weakens

48
Q

effects of length changes in muscle

A

lengthend/shortened = weak

49
Q

strength of FES to improve hand and UE in acute to subacute cervical SCI

A

low and weak

50
Q

strength of strength training to improve non-paralyzed and partially innervated muscles

A

weak

51
Q

integumentary considerations in acute stage

A

confined to bed and cant feel or move

common in sacrum, heels and elbow

proper pos and pwede glove with water on LE

52
Q

strats for functional training

A
  1. build foundation: motor control muna
  2. breaking down: part practice
  3. making task easier: mod to be easy
  4. learning skill in reverse: if mahirap supine to prone baka pwede prone to supine
53
Q

substitution by agonists

A

weak gmeds use higher innervated like TFL

54
Q

substitution by using gravity

A

diff UE pos can pos forearm in pronation or supination

55
Q

substitution by using tension of passive structures

A

tightness of long finger flexors using tenodesis

56
Q

substitution by using fixation of distal ex

A

hand on buttocks can help supine to sitting by using biceps to pull up

57
Q

substitution by using msucle pulls differently

A

weak triceps - use ant delotid to pull humerus to straigthen elbow

58
Q

discuss angular momentum

A

summation - use head and neck not just UE for more momentum

velocity - dapat mabilis

mass - adding weights can help roll

moment arm - more extended has more bwelo

59
Q

discuss head and hips rela

A

opposite lagi sila

60
Q

EBP guidelines fot cardiorespi fitness

A

20 mins of mod to vigorous aerobic for 2x a wk

61
Q

EBP guidelines fot strength training

A

3 sets for msucle group for 2x a wk

62
Q

EBP guidelines fot cardiometabolic health benefits

A

30 mins of mod to vigours aerobic for 3 x a wk

63
Q

T2 and up

A

nonambulators

64
Q

T3-11

A

physiologic standing

65
Q

T12-L2

A

household amb

66
Q

L3-down and ocassionally T12-L2

A

communit amb

can put braces indep

walk 100 yards non stop

stair neg

indep in ADLs c braces

67
Q

pre-requisites for walking

A

able to move whatever can move

sitting/standing tolerance and balance

68
Q

mx for sitting balance and tolerance

A

braces to supp spine

69
Q

mx for orthostatic hypotension

A

compressive stockings

70
Q

mx for standing tolerance

A

tilt table in acute c collar

standing frame for 10-15 mins

71
Q

strength for not adding additional training in unsupp sitting aside from current tx

A

low and weak

72
Q

strength in binders should be provided to improve postural hypotension

A

strong

add sa stockings

73
Q

sequence of gait training

A

// bars muna

tolerance to balance

train pt c BAC if candidate

bodyweight supp training - treadmill

overground walking

74
Q

strength for using bodyweight supp training - treadmill in addition to overground walking

A

low and weak

75
Q

paraplegics give up training d/t

A

high energy cost

slow speed

diff donning/doffing of braces

insecurity

madali and safe mag w.c

osteoporosis

contractures

76
Q

traumatic vs nerve root pain

A

traumatic - injury or fx

nerve root pain - irritation, shooting

SC dysesthesias, overuse

77
Q

strength for TENS to reduce pain

A

weak

78
Q

strength for educ to avoid shoulder overuse and trauma

A

strong

79
Q

strength for lengthening vulnerable shoulder muscles

A

strong

80
Q

strength for shoulder exercises

A

strong

81
Q

strength for pROM to prevent/treat shoulder pain

A

no recommendations - can aggravate

82
Q
A