SCI 3

Question 1

emergency care

Answer 1

location of incident- stabilize spine, achieve airway, lower temp

ER- stabilize the pt medically, complete neuro workup, imaging, high dose methylprednisolone (dec swelling & better recovery).

Lowering temp keeps spine from swelling

Question 2

fracture stability

Answer 2

purpose- stabilize spinal column to prevent further damage

conservative- traction

surgical tx- 60% SCI sent straight to.

Question 3

early mobility-L spine contraindications

Answer 3

L spine contraindications:

pelvis rotation
SLR greater than 60 deg
Hip FLX beyond 90 deg with knee EXT

Question 4

Early mobility-C spine contraindications

Answer 4

motion of head and neck

shoulder flexion and abduction greater than 90 deg

Question 5

outcome measures-wheelchair skills test

Answer 5

32 skills test

3 levels of difficulty

mobility without having to walk

seperated-indoor, community, advanced