SCI Flashcards
most common cause of SCI in the philippines
falls
general goals for acute and subacute rehab
prevent secodnary complications
neurorecovery
maximizing function
general goals for chronic rehab
compensatory or assistive approaches
what are the usual secondary complications
contractures
atrophy
bed sores
orthostatic HTN
unstable BP
objectives for SCI rehab
improve indep in ADLs
help accept new lifestyle - sexua;, recreational and housing
aid in societal reintegration
when should SCI rehab start
once medically stable and able to tolerate rehab
strength for starting SCI rehab once medically stable and able to tolerate rehab
weak
newly acquired SCI should be managed by _____
multidisciplinary team
PT + specialized ICU unit
strength for newly acquired SCI should be managed by PT + specialized ICU unit
strong
_____ management is crucial in acute stage
respiratory management
quiet inspiration
diaphragm and external intercostals
forced inspiration
scalenes
SCM
pectorals
upper traps
quiet expiration
passive elasticity or recoil of lung
muscles are relaxed
forced expiration
rectus abdominis and internal intercostals
respiratory damage in cervical SCI
prob in inspiration and expiration - phrenic nerve damage
quadriplegia
respiratory damage in thoracic SCI
prob in expiration and coughing - long thoracic nerve of rectus abdominis damage
paraplegia
discuss assisted coughing
pushing in or out the rectus abdominis
inhale, hold, cough then press 2x
discuss deep breathing exercises
inhale sa nose and exhale sa mouth
provide tactile and verbal fback
discuss glossopharyngeal breathing
swallowing or gulp air to dec lung volume
mema evidence
air shift maneuver
direct air towards hypoventilated areas
apple pressure to area in chest and tell pt to imagine air flowing there
resistance exercises for diaphragm
pwd weights pero weird
usually sucking or blowing on breathing apparatus
discuss use of abdominal support in respiratory management
helps exhalation by maintaining alignment of abdominal organs and diaphragm
stretching of chest muscles for respiratory management
pectorals - chest expansion
pwd din neck msucles
strength for respiratory muscle training
weak
strength for using abdominal binders to improve lung volume
weak
strength for targeted postural drainage and assisted coughinh
strong
strength for deep breathing and air stacking
weak
initial precautions for UE PROM
shoulder flexion and abd should not go beyond 90°
can influence movement of cervical spine in acute cases
use of UE ROM in chronic stage
pwede may lengthened or shortened
shoulder, elbow and wrist hyperext - supported sitting
shortened long finger flexors - tenodesis effect
contracture flexion of fingers - hook grasp
UE PROM should be what type of movement
bilat symmetric
assym can cause spine to move assym
initial precautions for paraplegia LE PROM
unitl 60° SLR
until 90° hip flex with knee bent
until cleared bawal pa
once cleared motions need to be developed for paraplegia LE PROM
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