SCI Treatment Flashcards
Pressure injuries management
- Positioning -> Prevent pressure ulcers
=> ROM exercises in all direction - Moving in bed and in wheelchair -> Pressure relief techniques
- Educate about regular self-examination
Verticalization
- Improve gastro-intestinal function
- Facilitate respiratory function
- Stimulate cardiovascular system
- Prevent pressure ulcers
Spasticity management and prevention
- Preventing triggers such as fatigue, inactivity, infections, pressure ulcers, stress, repetitive movement, …
- Stretching, active exercises, electrical stimulation
Passive/active mobilization
- ROM maintenance and increase -> In all direction
- Prevention of MSK complications + DVT
- Functional capacity maintenance
- Motor capacity maintenance (active)
- Prevent development of contracture (passive)
- Prevent pain (passive)
Stretching
- Contractures decrease
- ROM increase
- Spasticity management
Proprioceptive Neuromuscular Facilitation
Increase Strength and Mobility
PNF techniques:
- Rhythmic initiation
=> ROM/strength
- Rhythmic stabilisation
=> Strength/endurance
Strengthening
Aims? Regions? Methods?
For use of wheelchair or AD
At the end of the acute phase, strong UE are needed for the independent transfer from bed
Balance Training
Sitting or standing, Static or dynamic, and Intrinsic or Extrinsic perturbation
Independent sitting on the edge of the bed is very important for wheelchair use, enabling wheelchair transfer
Transfers
Assist > Educate > Train
Active transfers require good balance and strength of UL/back/abs (following capacity)
Educate on adapted compensatory strategies
Wheelchair manipulation
Prerequisites? Which skills? Methods?
Return to walking
Orthosis and AD are often used to either help or compensate for weakened muscles
–> Educate the patient about how to use it
