SCI Transfers & Bed mobility Flashcards

1
Q

What are the transfer options for complete vs incomplete injury?

A

Complete: scoot pivot
Incomplete: scoot and stand pivot (must consider strength, spasticity, ASIA level)

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2
Q

Should we ever let go of a HALO patient?

A

NO at high risk for injury if fall

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3
Q

What are patients with stabilizations at higher risk?

A

a stabilization causes higher segments to be more mobile making them more susceptible to injury

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4
Q

What effects does the tension in passive structures have on stability?

A

it increases it

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5
Q

What are the 3 key strategies for a SCI transfer?

A

muscle substitution, momentum, head hips relationship

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6
Q

When should we aim for compensation vs remediation

A

compensation when there is a complete injury

remediation when there is an incomplete injury

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7
Q

What are the 2 primary forms of neural recovery?

A

spontaneous and neural plasticity

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8
Q

What is neural plasticity? where? good?

A

a form of neural recovery that can happen at both the cortical and spinal cord level.
is not always good as it could potentially lead to a dysreflexia

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9
Q

What occurs with neural plasticity?

A

synaptic & neurotransmitter changes
axonal sprouting
changes to intracellular properties

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10
Q

What are the pre-requisites to motor function?

A

strength; ROM; balance; endurance; psychosocial chars. (mood, motivation, personality)

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11
Q

What are the most common clinical approaches to restoring motor function post SCI

A

Therapeutic exs; FES; Task specific functional training; robotics; body weight support treadmill training

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12
Q

When teaching a patient with a SCI what form of practice should be utilized early on?

A

part practice

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13
Q

What are the various methods of muscle substitution?

A

substitution with gravity; substitution with tension in passive structures; fixation of distal extremity

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14
Q

What is the head hips relationship?

A

head and hip move in opposite directions; can help to unload when trying to move….moving head toward knees unweights the hips (not end all be all)

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15
Q

What is the major key to using a momentum strategy?

A

using as many joints as possible in order to increase/maximize force

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16
Q

Supine to sidelying C1-4

A

dependent

17
Q

Supine to sidelying C5

A

hook technique

18
Q

Supine to sidelying C6-8 options?

A

hook technique; momentum

19
Q

Can a C1-4 move prone to supine?

A

no

20
Q

Method of C5-6 moving prone to supine?

A

push using rhomoids, delts, middle trip; will need help with lower trunk

21
Q

Method of C7-8 moving prone to supine?

A

push with arms and turn head in desired direction until roll; then reposition legs

22
Q

Supine on elbows is achieved how for C5 and C6?

A

C5: needs assistance
C6: wedge, muscle up