OT MIDTERM: SCI Flashcards

1
Q
  • C1-3
A

neck muscles

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2
Q

C4

A

Diaphragm, upper traps

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3
Q

C5

A

deltoids, biceps

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4
Q

C6

A

wrist extensors

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5
Q
  • C7
A

triceps, extensor digitorum

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6
Q

C8

A

Flexor digitorum

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7
Q
  • T1
A

hand intrinsics

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8
Q
  • T2-T12
A

intercostals

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9
Q
  • T7-L1
A

abdominal

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10
Q

Quadriplegia:

A

spinal cord injury above the first thoracic vertebra
* Can often use arms/wrists
* Never has full use of hands

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11
Q
  • Paraplegia:
A

the level of injury occurs below the first thoracic vertebra.
* Small muscles in their hands
* Finger abduction

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12
Q

C8-T1- what is this now considered

A

paraplegia

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13
Q

OT tx goals motor:

A
  • strengthen remaining mm groups
  • Teach compensatory/substitute motions
  • Splints to maintain functional position of hand+ to assist w substitute motions
  • Teach energy conservation
  • Teach w/c mobility skills
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14
Q

OT tx goals sensory:

A

¨ Educate to compensate for decreased sensation
¨ Teach visual skin inspection

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15
Q

OT tx goals self-care

A

¨ Teach alternative strategies for ADLs
¨ Train in use of assistive devices, home/environmental adaptations.

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16
Q

OT tx goals productivity

A

¨ Determine vocational goals

17
Q

OT tx goals leisure

A

¨ Expand and develop leisure interests.

18
Q

Autonomic Dysreflexia

A

irritation below level of injury, message cannot get to the brain, reflex

19
Q

Symptoms of Autonomic Dysreflexia

A

Headache, profuse sweating, anxiety, flushed

20
Q

What could be an irritant that leads to Autonomic Dysreflexia

A

overfull bladder, ingrown toenail, clothing too tight, infection

21
Q

What should you do for a client with Autonomic Dysreflexia symptoms?

A

Sit upright, call for help, loosen clothing, check urinary drainage

22
Q

Orthostatic hypotension

A

Drop in BP caused by going from lying to sitting or standing

23
Q

Signs of Orthostatic hypotension

A

Lightheaded, dizzy, loss of vision, seeing dots

24
Q

Tx for orthostatic hypotension

A

Lie down until symptoms ease
Binder or compression socks

25
Q

Temp regulation

A
  • Most people w SCI do not sweat below level of injury
  • The body can become hyperthermic
  • Nausea headache, tired,
  • Can also become hypothermic
26
Q

Philadelphia collars

A
  • May or may not have a trach opening
  • Must be fitted properly
27
Q

Halo traction

A
  • More effective at preventing cervical motion than collar
  • metal ring around the head which is affixed to the skull with screws
  • Sheepskin lining
  • Allows client to initiate early mobility
  • Particularly used for non-displaced fractures
28
Q

Resting hand splints

A
  • Are often used in the acute stages to maintain functional hand position
  • May be used at night beyond the acute stage.
29
Q

Tenodesis:

A
  • A tenodesis grasp can be used by people with C6/C7 quad
  • The wrist extensors extend the wrist
  • This causes tension on the long finger flexors causing the fingers to flex
30
Q

Why is tenodesis important?

A

Preserving mild tightness for the long finger flexors is actually desirable to maximize the function of the grasp

31
Q

Tenodesis: static split

A

A static splint may be used to maintain the thumb in a position of opposition to improve the effectiveness of the tenodesis grasp

32
Q
A