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PTRS 853 Midterm > SCI > Flashcards

SCI Flashcards

1
Q

Describe the focus of PT for an SIC that is level ASIA A

A

WONT: be able to strengthen or recover lost motor function

WILL: need to learn to compensate for loss of motor function (new way to do things)

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2
Q

List the factors that affect functional outcome (5)

A
  • social hx
  • family support
  • work hx
  • level of education
  • home layout (important regardless of complete/incomplete SCI)
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3
Q

Describe the difference between short and long sitting for those with SCI

A

Short Sit: more difficult, can’t use HS

Long Sit: more stable; can use HS

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4
Q

Describe the best way to stretch HS in those with SCI

A

Supine over Long sitting

Long sit: with tight HS more likely to stretch the Lb than the HS; a tight back is important b/c it is better for transfers (butt won’t sag)

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5
Q

Describe tendodesis

A

Flexing of the fingers they are stretched across the wrist joint during wrist extension.

Can be used for functional grip in quads above C6

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6
Q

Describe the difference between tilt and recline

A

Tilt: hip angle doesn’t change, but chair moves back in space

Recline: hip angle increases

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7
Q

List the skin changes that occur in those with SCI (2)

A
  • Thinning of epithelial layer
  • Change in collagen and hyperhidrosis (T8 and above)
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8
Q

List the reasons that put those with SCI at high risk for pressure ulcers (4)

A
  • impaired sensation
  • physiologic changes
  • inability to perform pressure relief
  • Moisture control
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9
Q

List the rules of thumb for tetraplegia (2)

A
  • Above C6 = power WC
  • C7-T1 may be manual WC
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10
Q

List the rules of thumb for paraplegia (4)

A
  • Typically manual WC
  • Rigid frame (more energy efficient)
  • Adjustable axel (for confidence in stability)
  • Consider weight of WC components
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11
Q

List the pros and cons of a rigid back chair

A

Pro: better posture and shld positioning

Con: hassle in loading into the car

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12
Q

List cushions from least to most pressure relief

A

Foam > Gel > Air

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13
Q

List the factors that limit activity tolerance (4)

A
  • upright tolerance
  • respiratory status
  • endurance
  • pain
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14
Q

For upright tolerance list the

  1. Expected Outcomes
  2. Variance
A
  1. Difficulty maintaining BP, may benefit from abdominal binder or ace wrapping
  2. Dysreflexia
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15
Q

Condition: rise of SBP by 20 mmHg or greater in response to stimulus

A

(Autonomic) Dysreflexia

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16
Q

For respiratory function list the

  1. Expected Outcomes
  2. Variance
A
  1. C6/7 limited intercostal mm, difficulty handling secretions/coughing
  2. More difficulty weaning from vent, possible need for tracheostomy
17
Q

For pain list the

  1. Expected Outcomes
  2. Variance
A
  1. Pain at injury site, NR pain
  2. Neurogenic pain below the level
18
Q

For ROM list the

  1. Expected Outcomes
  2. Variance
A
  1. WFL, flaccid
  2. HO, contracture, spasticity, insufficient PROM
19
Q

For Strength/Tone list the

  1. Expected Outcomes
  2. Variance
A
  1. Intact above, absent below, low tone initially, increased tone after spinal shock
  2. LE stronger than UE, unilateral difference, spasticity interfering w/function, proximal weakness
20
Q

For sensation list the

  1. Expected Outcomes
  2. Variance
A
  1. absent below, intact above
  2. intact below, absent above, pain below
21
Q

For bladder function list the

  1. Expected Outcomes
  2. Variance
A
  1. Neurogenic bladder (will not empty w/voluntary control)
  2. Frequent bladder distention can promote UTI
22
Q

For bowel function list the

  1. Expected Outcomes
  2. Variance
A
  1. Neurogenic bowel (will not empty w/volitional control)
  2. obstruction, ileus
23
Q

Term: absent or decreased bowel sounds and no stool or flatus passing

A

Ileus

24
Q

Describe how a bowel obstruction in those with SCI may present

A

May present as diarrhea with loose stool passing around the obstruction

25
Q

List the goals of SCI PT (10)

A
  • prevent secondary complications
  • tolerance to upright positions
  • positioning
  • strengthening
  • passive ROM
  • balance
  • transfer
  • pressure relief education
  • energy conservation
  • ambulation
26
Q

List the acute SCI complication (8)

A
  • Postural hypotension
  • Pressure sores
  • HO (warm; no aggressive ROM)
  • DVT (warm)
  • Autonomic dysreflexia
  • Hypo/hyperthermia
  • Pain
  • Spasticity
27
Q

List the chornic SCI complications (11)

A
  • Pressure sores
  • Autonomic dysreflexia
  • Hypo/hyperthermia
  • Burns
  • Pain
  • Spasticity
  • Syringomyelia
  • Contracture
  • Osteoporosis
  • Spinal deformities
  • Shld injury/Carpal tunnel
28
Q

Condition: redness that does not fade in 20 min which may progress to open wounds

A

Pressure sores

**Blanching is good

29
Q

Condition: development of fluid in the SC that may decrease motor function

A

Syrinomyelia

PTRS 853 Midterm (12 decks)

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