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Neuro Disorders > SCI > Flashcards

SCI Flashcards

1
Q

Central Cord Syndrome

A
  • Motor weakness UE>LE

- Loss of movement and sensation (pain + temperature)

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2
Q

Anterior Cord Syndrome

A
  • Loss of motor, pain, and temperature
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3
Q

Brown-Sequard Syndrome

A
  • Ipsilateral loss of motor and propioception

- Contralateral loss of pain and temperature beginning a few dermatomes below the lesion

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4
Q

Orthostatic hypotension

A
  • Symptoms: Lightheaded, dizzy, ringing in ears, double vision
  • Signs: Pallor of the face or lips, sweating, LBP
  • Check for TEDS, compression ace wraps or binder
  • Check for order of Midodrine (brings up BP)
  • Lay patient down
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5
Q

Autonomic Dysreflexia

A
  • Symptoms: Sudden pounding headache, nasal congestion, chills, blurred vision
  • Signs: High BP, low pulse, blotchy skin above level of injury, goosebumps, profuse sweating above level of injury
  • What to do: Sit patient up, remove compression garment
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6
Q

DVT

A
  • Signs & symptoms: Pain, warmth over involved area, redness, swelling
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7
Q

Pulmonary Embolus

A
  • Symptoms: SOB, tachycardic, chest pain, blue tinge to fingers, toes, or lips
  • IMMEDIATE medical attention needed
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8
Q

UTI

A
  • Signs & Symptoms: Fever, chills, pain with urination, increased spasticity
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9
Q

Important Functional Tools for SCI Patients

A
  1. FIM
  2. Wheelchair Skills test
  3. Walking Index for SCI
  4. Spinal cord injury functional ambulation inventory (SCI-FAI)
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10
Q

C1-C3 Muscles and Available Moments

A
  • Muscles: CN VII Facial Muscles; First 6 segments of cervical spine; SCM (voluntary); Trapezius
  • Available moment: Talking, Mastication, Sipping, Blowing, Ventilator Dependent
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11
Q

C1-C3 Bed Mobility

A

Dependent 1-2 people; should be able to direct

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12
Q

C1-C3 Transfers

A

Dependent 1-2 people via hoyer or football transfer; may need cervical collar or individual to assist with lines, tubes, head control

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13
Q

C1-C3 Wheelchair Mobility

A

Household mobility via power wheelchair with power seat functions

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14
Q

C1-C3 Functional Goals

A
  • Independent mobility of power wheelchair with head control or sip n’ puff
  • Independent communication and use of environmental control unit and computer mouth stick, scanner, or eye gaze
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15
Q

C4 Key muscles & Available moment

A
  • Muscles: Facial muscles, neck muscles, diaphragm, full trapezius
  • Available moment: Respiration, scapular elevation, ventilator weaning but will need assisted cough
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16
Q

C4 Bed mobility

A
  • Dependent 1-2 people; should be able to direct
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17
Q

C4 transfers

A
  • Dependent 1-2 people via hoyer or football transfer; may need cervical collar or individual to assist with lines, tubes, head control
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18
Q

C4 wheelchair mobility

A
  • Household mobility via power wheelchair with power seat functions
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19
Q

C5 Muscles and available moment

A
  • Muscles: Biceps, brachialis, brachioradialis, deltoid, infraspinatus, rhomboids, supinator
  • Available moment: Shoulder ER, Shoulder abduction to 90 degrees, limited shoulder flexion, elbow flexion, supination, cough assist
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20
Q

C5 bed mobility

A

Max assist (use momentum, hook elbow onto ladder/rail

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21
Q

C5 transfers

A

Max assist - dependent*1 via hoyer or slideboard transfer

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22
Q

C5 wheelchair mobility

A
  • Household mobility in ultralight manual wheelchair with projection rims
  • Community mobility in power wheelchair
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23
Q

Additional functions that C5 SCI can perform

A
  • Computer use with typing stick in u-cuff, adapted keyboard, or voice activation
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24
Q

C5 Functional Goals

A
  • Independence w/ eating, tooth brushing, and some ADLs with set up and equipment
  • Bed mobility: mod A with hospital bed & equipment
  • Assistance prone push transfers
  • Independence with community mobility in power wheelchair
  • Independence with short distance house hold mobility in manual wheelchair
  • Independence with hook and lean for pressure relief
25
Q

C6 Muscles & Available moment

A
  • Can almost be totally independent
  • Muscles: ECR, pronator teres, infraspinatus, lats, pec major, serratus anterior, teres minor
  • Available moment: Shoulder flexion, extension, IR, adduction; scapular abduction & IR; forearm pronation; wrist extension w/ tenodesis grasp; cough assist
26
Q

C6 bed mobility

A

Max assist (use momentum, hook elbow onto ladder/rail

27
Q

C6 transfers

A
  • Can vary from dependent to hoyer

- Max A to CTG via slideboard

28
Q

C6 Wheelchair mobility

A
  • Household mobility in ultralight manual wheelchair with projection rims
  • Community mobility in power wheelchair
29
Q

C6 functional goals

A
  • Independent with ADLs, require assistance w/ dressing b/c energy expenditure
  • Independence with bed mobility on firm surfaces
  • Independence with transfers on level surfaces
  • Independent manual wheelchair mobility level surfaces
30
Q

C7 muscles & available moment

A
  • Muscles: EPL, EPB, extrinsic finger extensors, FCR, triceps
  • Available moment: Elbow extension, wrist flexion, finger extension
31
Q

C7 bed mobility

A

Min A - Mod A - use momentum or bedrail

32
Q

C7 transfers

A
  • Can vary from dependent to hoyer

- Min A to supervision via slideboard

33
Q

C7 wheelcahir mobility

A
  • Household mobility in light weight manual wheelchair

- Depending on UE status, age, weight, and level of activity, certain patients may be in power wheelchairs

34
Q

Functional goals for C7

A
  • Independent bed mobility w/out equipment
  • Independent transfers for all surfaces
  • Independent pressure relief
  • Independent manual wheelchair propulsion (may need some assistance with uneven terrain)
  • Independent dressing and self ROM
35
Q

Treatment considerations for C7

A
  • Shoulder & elbow injuries
  • Use of FES
  • Shoulder taping
  • Strengthening activities
  • Modalities
  • Swimming
36
Q

C8-T1 Muscles & available moment

A
  • Muscles: Extrinsic finger flexors; FCU; FPL; FPB; Intrinsic finger flexors
  • Available Moment: Full innervation of UE muscles including fine motor skills and strong grasp
37
Q

C8-T1 bed mobility

A

Can vary from min A to independent

38
Q

C8-T1 transfers

A

Can vary from mod A to independent with slideboard

39
Q

C8-T1 wheelchair mobility

A
  • Household mobility in ultralight weight manual wheelchair

- Community mobility in power wheelchair

40
Q

C8-T1 Functional Goals

A
  • Independence with transferring wheelchair in and out of vehicle
  • Independence with ADLs and bowel and bladder management
41
Q

T2-T6 Muscles & anticipated outcome

A
  • Muscles: Corresponding to level of injury - partial intercostals, back muscles
  • Available moment: Full UE muscle strength (grip + fine motor); intercostal assistance for breathing; postural back muscles
42
Q

T2-T6 bed mobility

A

Min A to independent

43
Q

T2-T6 transfers

A

Mod A to independent with slideboard

44
Q

T2-T6 wheelchair mobility

A
  • Household mobility in ultralight manual wheelchair

- Community mobility in power wheelchair with power seat functions

45
Q

T7-T12 muscles & anticipated outcome

A
  • Muscles: Corresponding to level of injury - intercostals, abdominals, back muscles
  • Available moment: Full UE strength (grip + fine motor), intercostal assistance for breathing; postural back and abdominal muscles
46
Q

T7-T12 bed mobility

A

Independent without bedrail

47
Q

T7-T12 transfers

A

Independent via slideboard or squat pivot

48
Q

T7-T12 wheelchair mobility

A

Household and community in light weight manual wheelchair

49
Q

T7-T12 Ambulation clinical criteria

A
  • Musculoskeletal integrity
  • Motivation/commitment
  • ROM
  • Spasticity
  • Tolerance to upright
  • Cognition
  • Balance
50
Q

L1-L3 muscles & available moment

A
  • Muscles: Gracilis, iliopsoas, sartorius

- Available moment: Hip flexion, adduction

51
Q

L1-L3 bed mobility

A

Independent without bedrail

52
Q

L1-L3 transfers

A

Independent via squat pivot

53
Q

L1-L3 wheelchair mobility

A

Household and community mobility in light weight manual wheelchair

54
Q

L1-L3 ambulation

A

Can vary from independent to mod A for household ambulation with bracing and assistive device

55
Q

L4-L5 muscles & available moment

A
  • Muscles: QL, sartorius, ED, quads, medial hamstring, posterior tib, anterior tib, low back muscles
  • Available moment: strong hip and knee flexion, weak knee extension
56
Q

L4-L5 bed mobility

A

Independent without bedrail

57
Q

L4-L5 transfers

A

Independent via squat pivot transfer

58
Q

L4-L5 wheelchair mobility

A

Household and community mobility in light weight manual wheelchair

59
Q

L4-L5 ambulation

A

With household and short-mod community ambulation with bracing as needed and assistive device

Neuro Disorders (14 decks)

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