ROM & Positioning (in acute stage)

Question 1

Paraplegia:

Answer 1

No SLR>60 degrees; no Hip Flex >90 degrees with knee flex (until spine is stable)

Question 2

Quadriplegia:

Answer 2

Avoid head and neck motion until cleared by MD, be careful with shoulders

Question 3

Allow ______ of lower trunk to improve ______ posture

Answer 3

tightness

sitting

Question 4

Allow tightness in long finger _______ for ________ (to assist with tenodesis)

Answer 4

flexors

quadriplegia

Question 5

After ______ stage stretch out _______ (SLR to ___ - _____) to decrease post. pelvic tilt & increase trunk stability necessary for ______, transfers (with no bumping ischial tuberosities/wound prevention), LE dressing, self ROM

Answer 5

Acute
Hamstrings
110-120
Sitting

Question 6

Splinting:

Answer 6

• Used with hands to maintain functional position and web space
• Ankle boots or splints to prevent heel cord tightening
• Sandbags or trochanteric rolls

Question 7

Begin prone positioning ASAP:

Answer 7

Maintain safety & keep within pt tolerance

• Decrease decubitus
• Decrease flexion contractures