SCI Lab Flashcards
What are body jacket precautions?
No hip flexion past 90
Log rolling only
No uneven transfers
What kind of tripod will pt’s in a bodyjacket have to use?
backwards tripod
What kind of tripod is best for tetrapelgia patients?
forward tripod
When a patient is transfering from the WC to the bed on the left, how will they use their Head hips relationship to scoot?
Start by looking up and left and then look down and right
What shoulder motion assists with locking out the elbows for C6?
External rotation
and flexion
Can a c6 pt use the D2 motion to swing in order to turn over?
No because they will hit their own head d/t no triceps. They have to swing below head level
Which hand should you use to hold the gaitbelt when guarding a pt ambulating with KAFO
where does the other hand go?
dominant hand
over the shoulder
Where do you push your gaitbelt hand in order to stop a pt from jackknifing
up and forward
For drag-to gait, where is the goal that they want to bring their feet to?
just behind crutches, NOT EVEN with crutches
What type of gait with KAFOs will weaker pts and newer pts start with
Drag-to
what actions happen at the shoulder in order to drive pt forward in KAFO gait
scapular protraction starts the unweighting of the lower body followed by depression by lats
How does the pt use their head during swing-through gait?
Look up and then down in order to lift, and then once the feet pass the crutches they look back up
Where do you swing the head during reciprocal KAFO gait in order to advance the R leg
L and down
what para-gait type is most energy efficient
reciprocal: most energy efficient when looking at expenditure per unit of distance
what method of getting up from a WC in KAFOs requires less strength?
twisting method
how will a pt use the head-hips relationship to stand up from a WC with the push method?
look down and then up
how can we make falling training easier for paraplegic patients
Raise the surface (mat/table instead of ground)
If we are ordering a locked ankle for a patient who will ambulate in para-stance, how much dorsiflexion do we want them locked in
5-10
Pt keeps losing their balance forward, what could be going on with their KAFO?
What about when they are continuously losing their balance backwards
Forward- too much dorsiflexion
Backward- too much plantarflexion
Going up a curb in a WC you can go what direction?
What about going down?
Up- forward or backwards
Down- backwards only!!!!
When carrying a pt up the stairs in WC, the stronger person is positioned ________
when carrying them down the stairs, the stronger person is positioned ___________
The pt in the wheelchair is always facing ________
Behind the pt
Infront of the pt
Down the stairs
How to train caregiver to load WC into car?
Slide front seat as far forward as possible
Fold WC and point casters into car while doing a wheelie
Pickup back and lift rear wheels into car
How will a C6 pt likely get from supine to sitting?
Army crawl method
How will a C7 pt likely get from supine to sitting
Army crawl or back pocket method if triceps are strong enough
T or F: with low curbs the pt can go down forwards
F
Which way should a caregiver bring a pt down a ramp?
Backwards
T or F: when lifting a Pt up or down the stairs, the wheelchair back should be parallel to angle of the stairs
F, it should be higher.
Not parallel or lower
What is the crucial job of the person on bottom while bringing a Pt down the stairs
Apply backwards pressure into step to stop them from rolling down stairs
Why is a forward tripod position best for c7?
Lats not fully innervated for backward tripod
Serratus is fully innervated for forward tripod
