SCI Rehab

Question 1

What are SCI-specific tests and measures discussed in class?

Answer 1

SCI-M
SCI-SET
WISCI-II
WUSPI
W/C skills checklists for user and caregiver
Functional mobility testing

Question 2

What is the SCI-M?

Answer 2

Similar to FIM but SCI specific

Question 3

What is the SCI-SET?

Answer 3

Spasticity evaluation tool

Question 4

What is the WISCI-II?

Answer 4

For ambulation

Question 5

What is the WUSPI?

Answer 5

For shoulder pain

Question 6

What is functional mobility testing?

Answer 6

6-12 min wheelchair test

Question 7

What are the ways people with SCI can exercise aerobically?

Answer 7

Arm ergometer
W/C ergometer
W/C treadmill
Free wheeling
Seted aerobics
Swimming
W/C sports

Question 8

What are the ways people with SCI can increase their flexibility?

Answer 8

Stretching

Question 9

What are the ways people with SCI can strength train?

Answer 9

Weight machines or free weights

Question 10

What is the goal of aerobic training and strength training for patients with SCI?

Answer 10

Increase active muscle mass and strength
Maximize overall strength for functional independence
Improve efficiency of manual w/c propulsion

Question 11

What is the goal of flexibility training for patients with SCI?

Answer 11

Avoid joint contracture

Create required ROM for ADLs

Question 12

What is the intensity, frequency, and duration that patients with SCI should train aerobically?

Answer 12

50-80% peak HR
3-5 days/week
20-60 min sessions

Question 13

How many times should patients with SCI stretch?

Answer 13

Multiple times per day

Question 14

What is the intensity, frequency, and duration that patients with SCI should strength train?

Answer 14

2-3 sets of 8-12 reps

2-4 days per week

Question 15

3 methods of ambulation training discussed in class

Answer 15

Treadmill-manual assisted with and w/o weight support
Treadmill robot assisted
Parallel bars/overground

Question 16

Community support for those with SCI

Answer 16

Counseling
Respite care
Financial support
Legal rights
Advocacy

Question 17

When compared with general the population with the same age and education, pts with SCI demonstrate lower levels of

Answer 17

Community involvement
Employment
Income
Independent living
Marriage
Life satisfaction
Perceived physical health

Question 18

What are predictors of a positive outcome for the life satisfaction of patients with SCI?

Answer 18

Education
Functional independence
Income satisfaction with employment
Social and recreational opportunities
Decreased number of medical complications

Question 19

What are predictors of a negative outcome for the life satisfaction of patients with SCI?

Answer 19

Number of medical complications

Question 20

What is not correlated with life satisfaction with patients with SCI?

Answer 20

Injury level
Age at injury
Duration since injury

Question 21

What is the recovery rate after SCI of patients with complete paraplegia?

Answer 21

73% have no change in neurological level
18% gain one neurological level
7% gain 2 neurological levels

Question 22

What is the recovery rate after SCI of patients with complete tetraplegia?

Answer 22

Most patients recover one motor level

Question 23

Rates of change in ASIA classification from A to B

Answer 23

5%

Question 24

Rates of change in ASIA classification from A to C

Answer 24

2.9%

Question 25

Rates of change in ASIA classification from A to D/E

Answer 25

2.8% likely due to inaccurate initial diagnosis

Question 26

Rates of change in ASIA classification from B to D

Answer 26

20-28%

Question 27

Rates of change in ASIA classification from C to D

Answer 27

52-76%