Flashcards in 3.3- Guest Lecture/Spinal Cord Deck (16):
what are some areas of focus when it comes to spinal cord injuries?
What are a few special considerations? Name a few
upright tolerance/orthostatic hypotension
life changing events
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
ankles-at least 10 degrees of df
Why sould we not over stretch low back?
Because the low back tightness provides trunk support
Why is it important to not overstretch fingers?
in abesnce of functioning fingers, mild tightness in finger flexors provide functional grip (tenodesis)
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
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
Name a few benefis of standing
1. slide board
2. lateral without SB
4. floor, lateral, posterior, anderior approach, dependent lift, scoop
What are a few things about skin management
teach pressure relief
turning in bed
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
What respiratory complication in the #1 cause of death after a spinal cord injury?
What can be done to help prevent pneumonia?
1. Strenghtening ex
2. abdominal binders
3. resisted ex
4. assisted cough
5. strengthen accessory muscles
Education is the _________ to ____________
key to success
Who do you educate?
Patient, family, caregivers