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PT 10117 - Neuro Eval and Interv > SCI > Flashcards

SCI Flashcards

1
Q

most common cause of SCI in the philippines

A

falls

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2
Q

general goals for acute and subacute rehab

A

prevent secodnary complications

neurorecovery

maximizing function

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3
Q

general goals for chronic rehab

A

compensatory or assistive approaches

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4
Q

what are the usual secondary complications

A

contractures

atrophy

bed sores

orthostatic HTN

unstable BP

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5
Q

objectives for SCI rehab

A

improve indep in ADLs

help accept new lifestyle - sexua;, recreational and housing

aid in societal reintegration

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6
Q

when should SCI rehab start

A

once medically stable and able to tolerate rehab

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7
Q

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

A

weak

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8
Q

newly acquired SCI should be managed by _____

A

multidisciplinary team

PT + specialized ICU unit

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9
Q

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

A

strong

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10
Q

_____ management is crucial in acute stage

A

respiratory management

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11
Q

quiet inspiration

A

diaphragm and external intercostals

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12
Q

forced inspiration

A

scalenes

SCM

pectorals

upper traps

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13
Q

quiet expiration

A

passive elasticity or recoil of lung

muscles are relaxed

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14
Q

forced expiration

A

rectus abdominis and internal intercostals

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15
Q

respiratory damage in cervical SCI

A

prob in inspiration and expiration - phrenic nerve damage

quadriplegia

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16
Q

respiratory damage in thoracic SCI

A

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

paraplegia

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17
Q

discuss assisted coughing

A

pushing in or out the rectus abdominis

inhale, hold, cough then press 2x

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18
Q

discuss deep breathing exercises

A

inhale sa nose and exhale sa mouth

provide tactile and verbal fback

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19
Q

discuss glossopharyngeal breathing

A

swallowing or gulp air to dec lung volume

mema evidence

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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

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21
Q

resistance exercises for diaphragm

A

pwd weights pero weird

usually sucking or blowing on breathing apparatus

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22
Q

discuss use of abdominal support in respiratory management

A

helps exhalation by maintaining alignment of abdominal organs and diaphragm

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23
Q

stretching of chest muscles for respiratory management

A

pectorals - chest expansion

pwd din neck msucles

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24
Q

strength for respiratory muscle training

A

weak

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25
strength for using abdominal binders to improve lung volume
weak
26
strength for targeted postural drainage and assisted coughinh
strong
27
strength for deep breathing and air stacking
weak
28
initial precautions for UE PROM
shoulder flexion and abd should not go beyond 90° can influence movement of cervical spine in acute cases
29
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
30
UE PROM should be what type of movement
bilat symmetric assym can cause spine to move assym
31
initial precautions for paraplegia LE PROM
unitl 60° SLR until 90° hip flex with knee bent until cleared bawal pa
32
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
33
discuss selective stretching
hams - 110-120°; bed mob and transfers hip IR - reach feet, dressing of LE garments
34
discuss selective shortening
finger flexors - tenodesis back ext - postural in sitting
35
strength of long duration stretch and pos stretch
weak pero pwede padin daw long duration
36
strength of PROM, AAROM, passive standing, splinting in treating and preventing loss of ROM
weak
37
complications and contraindications of PROM
assoc unstable fx DVT HO osteporosis
38
strength training is applicable to
innervated or partial innervated
39
NMES is for
partially innervated muscles and muscle strengthening or reeduc
40
ES is for
retard atrophy pero later on no effect na
41
significance of endurance training
dapat kaya ni pt yung transfers or functions ng paulit ulit
42
principles of strength training
overload SAID reversibility
43
relate spasticity and strength training
pt educ about antagonist spasticity- kase ma ffeel nya pag mag spastic strengthening will not inc spasticity
44
discuss muscle substitution
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
effects of alcohol abuse in exercise
muscle weakness kasi it inhibits calcium binding = panget contraction
46
effects of steroids in exercise
chronic use leads to atrophy of type 2 fibers
47
effects of anti spasticity meds in exercise
baclofena diazetab - acts on SC and not muscle dantrolene sodium - acts on muscle hence it weakens
48
effects of length changes in muscle
lengthend/shortened = weak
49
strength of FES to improve hand and UE in acute to subacute cervical SCI
low and weak
50
strength of strength training to improve non-paralyzed and partially innervated muscles
weak
51
integumentary considerations in acute stage
confined to bed and cant feel or move common in sacrum, heels and elbow proper pos and pwede glove with water on LE
52
strats for functional training
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
substitution by agonists
weak gmeds use higher innervated like TFL
54
substitution by using gravity
diff UE pos can pos forearm in pronation or supination
55
substitution by using tension of passive structures
tightness of long finger flexors using tenodesis
56
substitution by using fixation of distal ex
hand on buttocks can help supine to sitting by using biceps to pull up
57
substitution by using msucle pulls differently
weak triceps - use ant delotid to pull humerus to straigthen elbow
58
discuss angular momentum
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
discuss head and hips rela
opposite lagi sila
60
EBP guidelines fot cardiorespi fitness
20 mins of mod to vigorous aerobic for 2x a wk
61
EBP guidelines fot strength training
3 sets for msucle group for 2x a wk
62
EBP guidelines fot cardiometabolic health benefits
30 mins of mod to vigours aerobic for 3 x a wk
63
T2 and up
nonambulators
64
T3-11
physiologic standing
65
T12-L2
household amb
66
L3-down and ocassionally T12-L2
communit amb can put braces indep walk 100 yards non stop stair neg indep in ADLs c braces
67
pre-requisites for walking
able to move whatever can move sitting/standing tolerance and balance
68
mx for sitting balance and tolerance
braces to supp spine
69
mx for orthostatic hypotension
compressive stockings
70
mx for standing tolerance
tilt table in acute c collar standing frame for 10-15 mins
71
strength for not adding additional training in unsupp sitting aside from current tx
low and weak
72
strength in binders should be provided to improve postural hypotension
strong add sa stockings
73
sequence of gait training
// bars muna tolerance to balance train pt c BAC if candidate bodyweight supp training - treadmill overground walking
74
strength for using bodyweight supp training - treadmill in addition to overground walking
low and weak
75
paraplegics give up training d/t
high energy cost slow speed diff donning/doffing of braces insecurity madali and safe mag w.c osteoporosis contractures
76
traumatic vs nerve root pain
traumatic - injury or fx nerve root pain - irritation, shooting SC dysesthesias, overuse
77
strength for TENS to reduce pain
weak
78
strength for educ to avoid shoulder overuse and trauma
strong
79
strength for lengthening vulnerable shoulder muscles
strong
80
strength for shoulder exercises
strong
81
strength for pROM to prevent/treat shoulder pain
no recommendations - can aggravate
82

PT 10117 - Neuro Eval and Interv (16 decks)

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