SCI Lab Material

Question 1

What does motions does a HALO restrict?
What level injury might get this?

Answer 1

all 3 planes of cervical motion
C1 -C2

Question 2

What motions does a Miami J restrict?
What level injury might get this?

Answer 2

sagittal plane motion
C4 - C5

Question 3

What motion does a TLSO restrict?
Who would get it
When do you don?

Answer 3

tri-planar
after spinal fusion, trim lines above and below injury
Don in supine, log roll them
(if its soft can put on at EOB)

Question 4

What does an abdominal binder help with

Answer 4

Inc abd pressure
help PC, respiration, orthostatic hypotension

Question 5

What does a Swedish knee cage help with?

Answer 5

genu recurvatum

Question 6

What are early priorities in treatment

Answer 6

PT edu: pressure, contrcature, prognosis
UE strength, upright tolerance
bed mobility
stretching

Question 7

What muscles will lock the elbow for a C6

Answer 7

full delt, infraspinatus, clavicular portion of pec

Question 8

What muscle is used for pulling in C6

Answer 8

biceps

Question 9

What does the partial serratus help with in a C6 injury?

Answer 9

stabilize scap against thorax, and protraction to lift butt

Question 10

What does the partial lats do with a C6

Answer 10

shoulder depression

Question 11

Explain the easy to hard ways to go to roll from supine

Answer 11

Start 1/4 supine, hooklying with legs towards direction of roll
supine hooklying with legs in direction of roll
LE crossed (contralateral over ipsilateral)
fully supine

Question 12

Explain the 2 ways to go from supine to long sit

Answer 12

supine on elbows: upper back on your knees
prone on elbows: lift from armpits, elbows slightly anterior, swing them over and place in posterior prop

Question 13

explain short sitting with Ax2 (where to guard) and what position patient is in

Answer 13

one at trunk, one on LE
Use (biceps and ant delt) to manage LE
posteior prop with ant delt and clavicular head pec

Question 14

What key muscles need to be lengthened in a C6 injury?

Answer 14

SLR
Hip ER
Ankle Df
Shoulder

Question 15

How much lengthening for SLR and why?
Method for stretching

Answer 15

110-120 for bed mobility
90/90, towel under low back
or long sit

Question 16

How much ER do we want to achieve? why?

Answer 16

to normal
for dressing

Question 17

How much ankle DF do we want? why?

Answer 17

10 degrees
for positioning in WC
or gait in the future

Question 18

What contractures are we trying to avoid

Answer 18

hip flexors and PF

Question 19

What key muscles are we selectively shortening? why?

Answer 19

finger flexors - tenodesis grip
low back - mild for postural control

Question 20

What muscles do we want to strengthen

Answer 20

shoulder IR and ERs
shoulder ADD (pecs and lats)
scap retractors (middle traps and rhomboids)
serrates
biceps

Question 21

When is it appropriate to begin seated balance activities?

Answer 21

hemodynamically stable: tilt table, compression stockings abd binder, raise HOB
monitor vitals

Question 22

What seated positions are available to access balance?

Answer 22

short sit and long sit

Question 23

What muscles are used to prop in the absence of triceps?

Answer 23

ERs, ant delts, teres, clavicular pec

Question 24

what are safety concern?
How do we guard?

Answer 24

OHT, equilibrium reactions
guard from behind, co-treat - someone in front

Question 25

What OMs can we use to access balance

Answer 25

Modified functional reach - acromion or ulnar styloid
time they can sit
SCIM 1,2,3

Question 26

What levels do you want to preserve tenodesis
What level do finger extensors come back

Answer 26

C5-C7