SCI Rehab Flashcards
What are SCI-specific tests and measures discussed in class?
SCI-M SCI-SET WISCI-II WUSPI W/C skills checklists for user and caregiver Functional mobility testing
What is the SCI-M?
Similar to FIM but SCI specific
What is the SCI-SET?
Spasticity evaluation tool
What is the WISCI-II?
For ambulation
What is the WUSPI?
For shoulder pain
What is functional mobility testing?
6-12 min wheelchair test
What are the ways people with SCI can exercise aerobically?
Arm ergometer W/C ergometer W/C treadmill Free wheeling Seted aerobics Swimming W/C sports
What are the ways people with SCI can increase their flexibility?
Stretching
What are the ways people with SCI can strength train?
Weight machines or free weights
What is the goal of aerobic training and strength training for patients with SCI?
Increase active muscle mass and strength
Maximize overall strength for functional independence
Improve efficiency of manual w/c propulsion
What is the goal of flexibility training for patients with SCI?
Avoid joint contracture
Create required ROM for ADLs
What is the intensity, frequency, and duration that patients with SCI should train aerobically?
50-80% peak HR
3-5 days/week
20-60 min sessions
How many times should patients with SCI stretch?
Multiple times per day
What is the intensity, frequency, and duration that patients with SCI should strength train?
2-3 sets of 8-12 reps
2-4 days per week
3 methods of ambulation training discussed in class
Treadmill-manual assisted with and w/o weight support
Treadmill robot assisted
Parallel bars/overground
Community support for those with SCI
Counseling Respite care Financial support Legal rights Advocacy
When compared with general the population with the same age and education, pts with SCI demonstrate lower levels of
Community involvement Employment Income Independent living Marriage Life satisfaction Perceived physical health
What are predictors of a positive outcome for the life satisfaction of patients with SCI?
Education Functional independence Income satisfaction with employment Social and recreational opportunities Decreased number of medical complications
What are predictors of a negative outcome for the life satisfaction of patients with SCI?
Number of medical complications
What is not correlated with life satisfaction with patients with SCI?
Injury level
Age at injury
Duration since injury
What is the recovery rate after SCI of patients with complete paraplegia?
73% have no change in neurological level
18% gain one neurological level
7% gain 2 neurological levels
What is the recovery rate after SCI of patients with complete tetraplegia?
Most patients recover one motor level
Rates of change in ASIA classification from A to B
5%
Rates of change in ASIA classification from A to C
2.9%
Rates of change in ASIA classification from A to D/E
2.8% likely due to inaccurate initial diagnosis
Rates of change in ASIA classification from B to D
20-28%
Rates of change in ASIA classification from C to D
52-76%
