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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
Q

Objective Functional assessment for Spasticity

A
  • MAS
  • Tardieu
  • parhmacological treatment in place
26
Q

Objective Functional assessment for Respiratory function

A
  • muscle capacity
  • chest wall compliance
  • cough & breath sounds
27
Q

Objective Functional assessment for CV function

A
  • signs of DVT, orthostatic hypotension
  • preventive measure in place
28
Q

Objective Functional assessment for Skin & pressure injuries

A
  • scar appearance?
  • presence of injuries + preventive measure in place
  • Braden sacle : risk of dvlp injuries & deep tissues damage
29
Q

Braden scale

A
  • For predicting pressure injury risk
  • Evaluate 6 domains (sensory perception, moisture, activity, mobility, nutrtion, friction & shear)
30
Q

Subjective assessment : Social information

A
  • age, job, hobby
  • living alone or w/ caregiver, adapted home
31
Q

Subjective assessment : History of present condition

A
  • circumstances of injury
  • surgery?
32
Q

Subjective assessment : Orthosis & equipment

A
  • spine stabilators, corset..
  • compression garment
33
Q

Subjective assessment : ADLs independence

A
  • Barthel Index, FIM
  • SCIM = Spinal cord indepence measure
34
Q

Subjective assessment : QoL

A
  • QoL Index for SCI (QLI-SCI)
35
Q

SCIM

A

= Spinal cord independence measure
- questionnaire about self care/ADLs; respiration & spphincter managment; mobility; mobility

36
Q

QLI-SCI

A

= 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
Q

Subjective assessment : Pain

A

Subjective evaluation

38
Q

Subjective assessment : Bowel/bladder

A
  • presence of infection
  • management
39
Q

Subjective assessment : Spasticity

A
  • Penn Spasm Frequency Scale
40
Q

Subjective assessment : Cognition

A
  • attention; reasonning, orientation; signs of psychiatric conditions
41
Q

Subjective assessment : Self care

A

Spinal cord injury lifestyle scale (SCILS)

42
Q

Subjective assessment : Mental health

A

PTSD, depression, anxiety -> use CRITERIA of DSM5

BPT14 - Neuro Rehab (14 decks)

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