3.3- Guest Lecture/Spinal Cord Flashcards Preview

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Flashcards in 3.3- Guest Lecture/Spinal Cord Deck (16):
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what are some areas of focus when it comes to spinal cord injuries?

ROM
Strenthening
balance
transfers
bed mobility
locomotion
skin management
respiratory function
education

1

What are a few special considerations? Name a few

upright tolerance/orthostatic hypotension
spasisticity
emotional
bowel/bladder/sexuality
sensation/pain
adaptive equipment
life changing events

2

When it comes to ROM considerations, what are a few areas to watch for?

low back- don't overstretch
neck-as normal as possible within orthopedic constraints
shoulders-normal ROM in all motions
elbows-full ext, normal or near normal flexion
forearms/wrist-normal all motions
hips-full ext,normal flex
hamstrings-110-120 degrees of passive SLR
knees-normal ext
ankles-at least 10 degrees of df

3

Why sould we not over stretch low back?

Because the low back tightness provides trunk support

4

Why is it important to not overstretch fingers?

in abesnce of functioning fingers, mild tightness in finger flexors provide functional grip (tenodesis)

5

what 4 things should we consider when we strengthen?

1. Keep joints a balanced as able
2. strengthen all innervated muscles in variety of positions
3. consider prone when able/not contraindicated
4. closed chain/open chain

6

Name a few balance activities

1. long sit
2. short sit
3. alternate positions-side lying on elbow, spine on elbow, one leg off mat, quadruped, tall kneel
4. static to dynamic
5. challenge in all positions

7

Name a few benefis of standing

bone density
spasticity management
bowel/bladder
emotional

8

Transfer training

1. slide board
2. lateral without SB
3. dependent
4. floor, lateral, posterior, anderior approach, dependent lift, scoop
5. car
6. shower/commode

9

What are a few things about skin management

frequent positioning
teach pressure relief
turning in bed
skin inspection
education
coushions

10

Why should the bed not be postioned higher than 30 degrees?

the more forward it makes the patient sacral sit and the sheering force of them sliding down the bed

11

What respiratory complication in the #1 cause of death after a spinal cord injury?

Pneumonia

12

What can be done to help prevent pneumonia?

1. Strenghtening ex
2. abdominal binders
3. resisted ex
4. assisted cough
5. strengthen accessory muscles

13

Education is the _________ to ____________

key to success

14

Who do you educate?

Patient, family, caregivers

15

What do you educate them on?

direct care and all complications