CH 9 Physical Complications Flashcards
What are signs of complications in hydrocephalus?
Overshunting-HA, can cause a hemorrhage from tearing of blood vessels
Undershunting-hydrosymptoms like fever, neck stiffness, change in alertness
How is spasticity characterized?
a motor disorder with velocity dependent increase in tonic stretch
Treatment for spasticity should be…
Multimodal including therapeutic interventions and medications. Splinting, activating opposing muscles, body positioning, etc.
What is heterotrophic ossification?
-formation of new bone around joints
-detected by therapist IDing decr ROM, X-ray
-tx includes meds and surgery
What is the incidence for DVT in TBI population?
as high as 54%
PE is the ___ leading cause of death in ppl who survive the 1st day of a TBI
3rd
What are the risk associated with VT, DVT or PE?
those sustaining TBI 2/2 trauma are at high risk which = higher risk in mortality
How can DVT and PE be prevented
prophylactic anticoagulants and mobility
List 5 possible physical impairments resulting from cranial nerve dysfunction
- loss of sensation
- visual impairments
- tongue weakness
- impaired coordination
- VF paralysis
List 4 ways dysfunctions in fx movement can affect rehab and independence.
- bed mobility
- transfers
- sitting and standing balance/postural control
- gait and community mobility
Describe 2 coordination d/os that may be caused by injury to the corpus callosum and cerebellum
Ataxia and dystonia
List 2 body schema/image d/os
unilateral neglect and anosognosia
List 2 agnosias
visual object agnosia and auditory agnosia (not speech sounds but phone ringing/fire alarm)
List 2 apraxias
ideomotor (unable to perform motor task)
ideational (unable to perform motor task automatically and on command)
What % of ppl with SCI also have a TBI
60%
