Spinal Cord Injury - Presentation Flashcards
Define Spinal Cord Injury
damage of the spinal cord resulting from traumatic or non-traumatic causes
What does the “people first” language encourage?
Encourages use of terminology that doesn’t define the person by their disability while avoiding value judgements
What is considered a “traumatic cause”?
Injury resulting from trauma to the spinal cord from traumatic events such as; car crashes, falls, violence, or sports injury
What is considered a “non-traumatic cause”?
Injury resulting from tumors, degenerative or vascular conditions, infections, or birth defects
When discussing extent of a SCI, what does complete severance mean?
There is a full loss of mobility & sensation below the affected region
When discussing extent of a SCI, what does incomplete severance mean?
Some mobility & sensation remaining below the affected region
What is the difference between; Para vs Tetra vs Quadra Plegia?
1.) Paraplegia = los of function below the lumbar/sacral region
2.) Tetraplegia = loss of function below the thoracic region
4.) Quadriplegia = loss of function below the cervical region
How many people worldwide suffer from a Spinal Cord Injury?
15.4million
What is the rate of spinal cord injuries in men vs women?
Men experience 3.2x more than females
- could be due to high risk sports, car accidents, & violence
What is the % of SCI’s caused by traumatic vs non-traumatic events?
80% = trauma & 20% = non-traumatic
What are some Physical Features/Implications of a spinal cord injury?
- Spasticity (due to paralysis)
- Pressure Ulcers
- Respiratory Complications
- Autonomic Dysreflexia = sudden hypertension & cardiac arrhythmias due to overreaction of ANS
- Deep Vein Thrombosis
- Osteoporosis
What are some Cognitive Features/Implications of a spinal cord injury?
- Chronic Pain & Fatigue = reduced focus, memory, & problem solving
- Medication side effects = may cause drowsiness, confusion, or slowed cognition
- Reduced PA = impact brain health & decrease mental sharpness
- Comorbid Conditions = degenerative diseases directly impact cognition
What are some Emotional Features/Implications of a spinal cord injury?
- Depression/Anxiety
- Grief & Identity Loss =mobility, career & hobbies
- Stigma & Accessibility = exclusion/discrimination
- Sexuality/Intimacy changes
What are some Environmental Factors that may act as a Barrier for someone with a spinal cord injury?
Weather dependent factors like;
- icy side-walks
- snowbanks
- extreme hot or cold temps
- trails/pathways not wheelchair accessible
What are some Structural Factors that may act as a Barrier for someone with a spinal cord injury?
These barriers affect social participation;
- uneven sidewalks or lack of curb cuts
- lack of accessible equipment or transportation
What are some Interpersonal Factors that may act as a Barrier for someone with a spinal cord injury?
- relationship quality which contributes to resiliency & adaptability
- increased divorce rates
- inability for spontaneity
What are some Intrapersonal Factors that may act as a Barrier for someone with a spinal cord injury?
- inability to complete ADL’s
- persistent pain, pressure, & depression
- functional limitations (bladder/bowel/sexual)
- fear of socialization & rejection
What are some Sociocultural Factors that may act as a Barrier for someone with a spinal cord injury?
- lack of inclusive language & understanding
- cultural norms
- work & social limitations/bias
What are the goals of the Management strategies for those with Spinal Cord injuries?
- promote social participation
- reduce institutional living barriers
- achieve employment goals
- increase education on treatment & interventions
What are some Medical Interventions/Management Strategies used for someone with a spinal cord injury?
- surgery
- medications
- traction
- neurogenerative treatments
- neuroprotective treatments
What are some Rehabilitation Interventions/Management Strategies used for someone with a spinal cord injury?
- Physical, Occupational, & Speech therapies
- Mental health care
- Functional Electrical Stimulation
What are some Mobility Interventions/Management Strategies used for someone with a spinal cord injury?
Walkers, wheelchairs, & mobility scooters
Using the STEP Framework, how could you adapt the Space for someone with a spinal cord injury?
- increase/decrease space
- flat surface
- remove obstacles that may impede movement
- provide padded surfaces
Using the STEP Framework, how could you adapt the Task for someone with a spinal cord injury?
- limit movement requirements
- lower activity requirements
- use less & lighter equipment
Using the STEP Framework, how could you adapt the Equipment for someone with a spinal cord injury?
Larger items
Reaching & mobility aids
Using the STEP Framework, how could you adapt the People for someone with a spinal cord injury?
- smaller/larger groups
- partner with friend
- encourage/motviate
