Week 5.3 SCI Posture and Balance Flashcards
what are the pathways of postural control
reticulospinal tract
vestibulospinal
medial corticospinal tract
how does a SCI affect posture
you might have very high tone, positions that are more comfortable to sit in, and bony muscle changes occur, you may have hardware
whats the biggest difference in postural control in the SCI vs an able bodied person
sporadic muscle activation and varied trunk control
what is normal posture
you are sitting well, and have good posture through your ear, shoulder, greater trochanter, knee and ankle
how does the level of the SCI affect posture
if you are a T12 incomplete, you can still have good core and posture muscles, so you can have good PC
if you are a complete T2, you do not have core muscles, or postural muscles, so you rely just on being able to hang on your vertebrate.
how can you work on PC with SCI, what progression
work on normal alignment
then upright in sitting
then progress to standing
how can we challenge patents when working on PC
we can change the BOS, alter the support they have, the surfaces and the inputs (like a biodex, or a foam pad)
challenge them with tasks like ball toss, reaching, unsupported exercises and sports and games.
how much trunk control does a person with T6 and above injury have
no abdonimals,
what about trunk control with T7-T12
some abs, not all
L1 and below and trunk control
they have all the trunk
wha about incomplete injuries
you can have some activation in some places, and some asymmetries too.
with T6 and above, what do we really need to be careful with
OH and AutoD
what is the greatest risk factor for exercise in SCI
therapist, because we can go to easy on them and do them terrible disservice
how can we treat scoliosis
stretch tight muscles
mobilize
position into proper vertebral alignment
stabilize in proper alignment (core)
