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Rehab Eval > Week 3 > Flashcards

Week 3 Flashcards

1
Q

external stabilization that holds the head in place in relation to the body

A

halo

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2
Q

we should make sure we’re not ranging an individual with a cervical injury more than how many degrees in which directions?

A

flexion or abduction more than 90 degrees

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3
Q

why should we not range individuals with cervical injuries more than 90 degrees in shoulder flexion and abduction?

A

bc the vertebrae can move and affect alignment of the neck

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4
Q

describe elbow extension in a C7 SCI.

A

can extend elbow if gravity is helping but can’t extend over their head

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5
Q

describe C6 SCI ROM/strength.

A

some strength in the triceps and they have wrist extension

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6
Q

describe C7 SCI ROM/strength.

A

can extend elbow if gravity is helping but can’t extend over head

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7
Q

describe C5 SCI ROM/strength.

A

has active diaphragm, active shoulder, and elbow flexion, can extend triceps at elbow while shoulder is in ER - external rotation assists them with elbow extension (since they do not have triceps function). IR puts the arm in a position where you don’t have gravity to have elbow extend

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8
Q

describe which SCI patients tend to use tenodesis.

A

C6 clients or any who don’t have finger function

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9
Q

an individual with a SCI should never weight bear on a what?

A

flat hand

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10
Q

why should an individual with a SCI never weight bear on a flat hand?

A

bc it over stretches the finger flexors and inhibits tenodesis.

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11
Q

describe weight bearing for SCI individuals.

A
  • should lean back with hands behind while weightbearing.

- wrists should be extended and fingers should be flexed in a fist (curled under)

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12
Q

what is a preparatory activity for individuals with SCI for weight bearing?

A

work on getting chest and shoulders open to work on eventually bringing arms behind to weight bear and lean back

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13
Q

describe the difference between weightbearing (finger extension/over stretching) for patients with SCI and stroke.

A
  • stroke - want fingers to open up
  • SCI - no matter how much you open their fingers it won’t open them up so you have to prevent over stretching to preserve function.
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14
Q

describe posture precautions for individuals with SCI.

A
  • prevent over stretching of lower back
  • want to make sure they are in a slight anterior pelvic tilt or neutral or whatever their best posture is to prevent lower back from over stretching and tightening
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15
Q
  • BP dangerously high
  • comes from urine not being able to be expelled and comes back, infection - ingrown toenail or hangnail, or bowel impaction
A

autonomic dysreflexia

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16
Q

what is the first line of attack for AD?

A

check catheter to see if tubing is bent or if bag is full

17
Q
  • low BP
  • occurs bc their circulatory system doesn’t pump up against gravity enough, blood pools in LEs, and doesn’t get pumped back up to the heart
A

orthostatic hypotension

18
Q

what is the emergency solution for orthostatic hypotension?

A

head lower than heart, with feet up in the air

19
Q
  • commonly occurs on an airplane - squished static position
  • blood pools together and builds a thrombus, if a piece of a thrombus breaks off it becomes an embolus and moves through, if it stops in the lung can stop someone from breathing
  • treatments - blood thinners
A

deep vein thrombosis

20
Q

name 2 signs of deep vein thrombosis.

A
  • swelling, warmth, and pain in LE (usually on on side and not the other - if it’s bilateral it’s usually something else
  • blue line - venous return starts bulging with unoxygenated blood
21
Q

name a method of prevention for deep vein thrombosis.

A

compression socks (can be knee high or thigh high)

22
Q
  • where bone grows where it shouldn’t
  • ex: joint space, muscle tissue
  • painful
  • prevents ROM or postural changes
  • common in hips but can occur anywhere
A

heterotopic ossification

23
Q

for individuals with heterotopic ossification, OTs should be cautious during what?

A

PROM or AROM

24
Q

name 4 treatments for heterotopic ossification.

A
  • vigorous ROM
  • gentle ROM
  • no ROM
  • surgery (after bone growth stops)
25
Q

name 3 purposes of program evaluation systems.

A
  • to check validity of the program - is it measuring what we want to measure?
  • to determine functional status
  • to truly see if patients are getting better and improving or not
26
Q
  • measure of functional independence and burden of care - provides information for discharge planning
  • looks at ADLs, functional mobility
  • national repository of data from nay hospitals
A

FIM

27
Q

how is program evaluation completed?

A
  • depends on what it’s made up of

- satisfaction surveys, improvements from admission to discharge

28
Q

what does the FIM look at? what does it not look at?

A
  • looks at ADLs, functional mobility

- doesn’t look at quality of performance just cares about if they did it safely or not

29
Q

describe the scale on the FIM.

A

level 1 - total assistance

level 7 - complete independence

30
Q

describe the purpose of a ROC/tilt in space W/C.

A

changes the force of gravity for the person when tilted

31
Q

takes the wheels from being parallel and upright, spreads the base and tilts at the top - less likely to tip over during sports - provides more stability due to the wide base of support

A

camber

32
Q

name a negative aspect of cambers.

A

may be wider than the base of a door and would prevent someone from moving through a door

33
Q

why should OTs address seating and positioning?

A

optimal alignment allows an individual to perform an activity to the best of their ability, while poor alignment does the opposite

34
Q

name 2 negative aspects of crossing legs.

A
  • very bad for hips - too much internal rotation and adduction
  • can impede circulation
35
Q

name 6 goals of therapeutic positioning.

A
  • maintain biomechanical alignment
  • prevent deformity
  • comfort
  • pressure relief/distribution (skin integrity)
  • improve function
  • work in combination with other equipment (function)

Rehab Eval (13 decks)

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