SCI: FUNCTIONAL EXAMINATION AND PARAMETERS Flashcards
(34 cards)
Will guide POC
RLA
observational
Gait Analysis
Document frequency and
distance that the pt typically
walks at home and community
SCI
Functional
Ambulation
Inventory
Assess walking ability for pts
with incomplete SCI
SCI
Functional
Ambulation
Inventory
Designed to assess 3 aspects
of manual w/c mobility: tempo,
technical skill, and physical
capacity
W/C Circuit
Range of scores 32-224 higher
scores indicate better UE fxn
Capabilities
of UE
Instrument
(CUE)
Each item scored on a 7-point
ordinal scale with 1= totally
limited; 7= not at all noted
Capabilities
of UE
Instrument
(CUE)
Lifelong aerobic parameters
Aerobic should be done 3-5 days/week, 20-60
mins/session @ 50-80% at max HR
Can be used as a dx tool to determine which w/c skills need to be addressed in PT and to document improvement in rehab.
W/C Skills
Test
Measure small but significant
improvements in fxn in ppl c
tetraplegia that are missed by
other measurements
Quadriplegia
Index of
Function
Consists of 10 ADL items
Quadriplegia
Index of
Function
Maldetectable change of 6MWT is 46 meters. #funfact daw Reliable, valid, responsive to changes to people with incomplete SCI
10MWT/6MWT
acute care strengthening parameters
performed 2-4x/week, 8-12 reps @ 60-80%
of 1 RM
Incomplete SCI who can stand and walk
BBS
person can walk in and out of home s
assist. Dev or orthosis
.70
m/s
Used to identify gait deviations, identify abn gait patterns, will inform us of additional tests and measures needed to determine the underlying impairments that are causing abn movement
RLA
observational
Gait Analysis
Questionnaire that assesses
ability to grasp, release, and lift
& wrist and finger actions unilat
and bilat.
Capabilities
of UE
Instrument
(CUE)
Sitting balance:
Modified Functional Reach Test
Intended to complement
existing measures of w/c
propulsion like w/c skills test
W/C
Propulsion
Test
indication that person can likely walk
indoors, but w/c outside their home
.15
m/s
Made up of 19 items divided into
3 categories: self care,
respiration, sphincter
management and mobilty
SCI
Independence
Measures
Simple and inexpensive c good measurement properties that can be used propulsion of people who use hand or foot to propel w/c
W/C
Propulsion
Test
Personal care= series of questions that examines knowledge of personal care areas like skin, medication, and autonomic dysreflexia Reliable, valid, responsive to change
Quadriplegia
Index of
Function
acute care endurance training parameters
endurance
training 3-5 days/week c 20-60 minutes/day
@ 50-80% of peak heart rate
post acute care locomotor training for ASIA C&D
initial loading of 30% of body
weight at .5-1m/s around 4x/week, 30 mins
each session for 12 weeks