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BPT14 - Neuro Rehab > SCI assessment > Flashcards

SCI assessment Flashcards

1
Q

Myotomes C5

A

Elbow flexors

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2
Q

Myotomes C6

A

Wrist extensors

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3
Q

Myotomes C7

A

Elbow extensors

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4
Q

Myotomes C8

A

Finger flexors

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5
Q

Myotomes T1

A

5th digit abductors

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6
Q

Myotomes L2

A

Hip flexors

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7
Q

Myotomes L3

A

Knee ewtensors

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8
Q

Myotomes L4

A

Ankle dorsiflexors

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9
Q

Myotomes L5

A

Long toe extensors

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10
Q

Myotomes S1

A

Ankle plantar flexors

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11
Q

Myotomes

A

-> muscle strength
- grade 0 to 5
- 0 = no mvt
- 1 = Trace of contraction
- 2 = Full AROM, gravity limited
- 3 = Full AROM, against gravity
- 4 = Full AROM, against resitance
- 5 = normal power

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12
Q

LTT

A

= light touch test
- for superficial surface sensation
- “tell me yes if you feel the light touch”
- “similar to the one on forehead?”
0 = abs; 1= altered; 2= normal

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13
Q

PPT

A

= Pin prick test
- for deep surface sensation
- “when i ask tell me if you feel a lightly touching you or pricking you or nothing”
- “similar to the one on forehead?”
0 = abs; 1= altered; 2= normal

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14
Q

Objective Functional assessment for Mobility in bed

A
  • rolling in bed
  • repositioning
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15
Q

Objective Functional assessment for Transfers

A
  • lying to lying
  • sitting in bed -> WC/normal chair
  • sitting -> standing
  • floor -> WC
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16
Q

Objective Functional assessment for Moving around & use of mobility/walking aids

A
  • How is the patient moving around? What aid(s) is he using?
  • WST
  • WST-Q
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17
Q

WST

A

= Wheelchair skill test
- objective measure
- assesses capacity

18
Q

WST-Q

A

= Wheelchair skill test - Questionnaire
- subjective measure
- assesses performance, confidence & frequency

19
Q

Objective Functional assessments for sitting balance

A
  • Boubée scale = sitting balance scale for SCI
  • Trunk impairment scale
20
Q

Objective Functional assessment for Standing balance

A
  • static : Berg Balance Scale (BBS)
  • dynamic : Dynamic gait index (DGI)
21
Q

Objective Functional assessment for Walking & gait

A
  • Walking Index for SCI (WISCI)
  • Gait analysis
22
Q

Boubée scale

A
  • assesses sitting balance for SCI
    from 0 -> unable to sit unsupported w/ hands on laps
    to 6 -> arms vertical (elbow extended), rotate trunk to left & right
23
Q

Objective : Why Functional assessment for ROM is important?

A

For ADLs, transfer, mobility, positioning

24
Q

Objective Functional assessment for Proprioception

A
  • Statesthesia : Joint position sense (JPS)
  • Mirroring
25
Objective Functional assessment for Spasticity
- MAS - Tardieu - parhmacological treatment in place
26
Objective Functional assessment for Respiratory function
- muscle capacity - chest wall compliance - cough & breath sounds
27
Objective Functional assessment for CV function
- signs of DVT, orthostatic hypotension - preventive measure in place
28
Objective Functional assessment for Skin & pressure injuries
- scar appearance? - presence of injuries + preventive measure in place - Braden sacle : risk of dvlp injuries & deep tissues damage
29
Braden scale
- For predicting pressure injury risk - Evaluate 6 domains (sensory perception, moisture, activity, mobility, nutrtion, friction & shear)
30
Subjective assessment : Social information
- age, job, hobby - living alone or w/ caregiver, adapted home
31
Subjective assessment : History of present condition
- circumstances of injury - surgery?
32
Subjective assessment : Orthosis & equipment
- spine stabilators, corset.. - compression garment
33
Subjective assessment : ADLs independence
- Barthel Index, FIM - SCIM = Spinal cord indepence measure
34
Subjective assessment : QoL
- QoL Index for SCI (QLI-SCI)
35
SCIM
= Spinal cord independence measure - questionnaire about self care/ADLs; respiration & spphincter managment; mobility; mobility
36
QLI-SCI
= QoL Index for SCI (QLI-SCI) "how satisfied are you with..?" & " how important to you is..?"rate from 1 (very dissatisfied/ not important) to 6 (very satisfied/important)
37
Subjective assessment : Pain
Subjective evaluation
38
Subjective assessment : Bowel/bladder
- presence of infection - management
39
Subjective assessment : Spasticity
- Penn Spasm Frequency Scale
40
Subjective assessment : Cognition
- attention; reasonning, orientation; signs of psychiatric conditions
41
Subjective assessment : Self care
Spinal cord injury lifestyle scale (SCILS)
42
Subjective assessment : Mental health
PTSD, depression, anxiety -> use CRITERIA of DSM5

BPT14 - Neuro Rehab (14 decks)

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