SCI treatment pt 1

Question 1

upright tolerance goal time

Answer 1

10-12 hours a day

Question 2

how often should you pressure relief in the chair and for how long

Answer 2

every 15-20 mins for 2-4 minutes BUT push up method only needs to be held 30-90s

Question 3

how often should bed position change

Answer 3

every 2 hours

Question 4

when should skin checks be done

Answer 4

all the time - examine daily full body

Question 5

management of contractures

Answer 5

serial casting
meds
surgery

Question 6

what can serial casting be used for

Answer 6

treatment for contractures but also prevention

Question 7

what meds can u use for managing contratures

Answer 7

baclofen
botox

Question 8

which group of pt’s responded best to meds for contractures

Answer 8

SCI with flexor spasticity without fixed contractures

Question 9

pt’s with incomplete tetraplegia or complete/incomplete paraplegia who are walking candidates require what

Answer 9

normal ROM through entire LEs

Question 10

what can you use with intact C6 innervation that may aide in functional mobility

Answer 10

tenodesis - wrist extension
passive shortening of finger flexors as the wrist extends

Question 11

what must a C6/C7 pt avoid doing

Answer 11

overstretching finger flexors during activities and functional tasks

Question 12

adaptive lengthening is what

Answer 12

combination of lengthened hamstrings & adaptive shortening of back extensors

Question 13

what can adaptive lengthening provide

Answer 13

stability and balance in short and long sitting positions

Question 14

what degrees of SLR needs to be maintained to utilize adaptive lengthening

Answer 14

110-120 without overstretching back muscles

Question 15

what is the #1 primary region for orthopedic pain and injury after SCI

Answer 15

shoulder region

Question 16

primary positions for UE support in short or long sitting for tetraplegia

Answer 16

posterior prop
lateral prop
anterior prop

Question 17

what is important ROM to have when determing what UE prop technique to use

Answer 17

shoulder extension, abduction, ER

Question 18

which UE prop technique should you utilize if triceps are weak (compensatory) for static sitting treatment

Answer 18

posterior
can still achieve if anterior delt and external rotators are functional

Question 19

what is the “sweet spot”

Answer 19

COM lands over their BOS and can hold balance without UE support despite inadequate trunk strength

Question 20

for tetra static sitting reactionary techniques, if normal, where do you apply small perturbations

Answer 20

trunk
pelvic/hip muscles

Question 21

for tetra static sitting reactionary techniques, if normal, where do you apply large perturbations

Answer 21

reaching reaction with UEs

Question 22

for tetra static sitting reactionary techniques, if loss of trunk strength and variable UE strength, where do you apply small perturbations

Answer 22

head/neck
upper shoulder and trunk muscles