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SCI Flashcards

1
Q

Central Cord Syndrome

A
  • Motor weakness UE>LE

- Loss of movement and sensation (pain + temperature)

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2
Q

Anterior Cord Syndrome

A
  • Loss of motor, pain, and temperature
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3
Q

Brown-Sequard Syndrome

A
  • Ipsilateral loss of motor and propioception

- Contralateral loss of pain and temperature beginning a few dermatomes below the lesion

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4
Q

Orthostatic hypotension

A
  • Symptoms: Lightheaded, dizzy, ringing in ears, double vision
  • Signs: Pallor of the face or lips, sweating, LBP
  • Check for TEDS, compression ace wraps or binder
  • Check for order of Midodrine (brings up BP)
  • Lay patient down
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5
Q

Autonomic Dysreflexia

A
  • Symptoms: Sudden pounding headache, nasal congestion, chills, blurred vision
  • Signs: High BP, low pulse, blotchy skin above level of injury, goosebumps, profuse sweating above level of injury
  • What to do: Sit patient up, remove compression garment
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6
Q

DVT

A
  • Signs & symptoms: Pain, warmth over involved area, redness, swelling
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7
Q

Pulmonary Embolus

A
  • Symptoms: SOB, tachycardic, chest pain, blue tinge to fingers, toes, or lips
  • IMMEDIATE medical attention needed
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8
Q

UTI

A
  • Signs & Symptoms: Fever, chills, pain with urination, increased spasticity
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9
Q

Important Functional Tools for SCI Patients

A
  1. FIM
  2. Wheelchair Skills test
  3. Walking Index for SCI
  4. Spinal cord injury functional ambulation inventory (SCI-FAI)
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10
Q

C1-C3 Muscles and Available Moments

A
  • Muscles: CN VII Facial Muscles; First 6 segments of cervical spine; SCM (voluntary); Trapezius
  • Available moment: Talking, Mastication, Sipping, Blowing, Ventilator Dependent
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11
Q

C1-C3 Bed Mobility

A

Dependent 1-2 people; should be able to direct

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12
Q

C1-C3 Transfers

A

Dependent 1-2 people via hoyer or football transfer; may need cervical collar or individual to assist with lines, tubes, head control

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13
Q

C1-C3 Wheelchair Mobility

A

Household mobility via power wheelchair with power seat functions

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14
Q

C1-C3 Functional Goals

A
  • Independent mobility of power wheelchair with head control or sip nā€™ puff
  • Independent communication and use of environmental control unit and computer mouth stick, scanner, or eye gaze
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15
Q

C4 Key muscles & Available moment

A
  • Muscles: Facial muscles, neck muscles, diaphragm, full trapezius
  • Available moment: Respiration, scapular elevation, ventilator weaning but will need assisted cough
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16
Q

C4 Bed mobility

A
  • Dependent 1-2 people; should be able to direct
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17
Q

C4 transfers

A
  • Dependent 1-2 people via hoyer or football transfer; may need cervical collar or individual to assist with lines, tubes, head control
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18
Q

C4 wheelchair mobility

A
  • Household mobility via power wheelchair with power seat functions
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19
Q

C5 Muscles and available moment

A
  • Muscles: Biceps, brachialis, brachioradialis, deltoid, infraspinatus, rhomboids, supinator
  • Available moment: Shoulder ER, Shoulder abduction to 90 degrees, limited shoulder flexion, elbow flexion, supination, cough assist
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20
Q

C5 bed mobility

A

Max assist (use momentum, hook elbow onto ladder/rail

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21
Q

C5 transfers

A

Max assist - dependent*1 via hoyer or slideboard transfer

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22
Q

C5 wheelchair mobility

A
  • Household mobility in ultralight manual wheelchair with projection rims
  • Community mobility in power wheelchair
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23
Q

Additional functions that C5 SCI can perform

A
  • Computer use with typing stick in u-cuff, adapted keyboard, or voice activation
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24
Q

C5 Functional Goals

A
  • Independence w/ eating, tooth brushing, and some ADLs with set up and equipment
  • Bed mobility: mod A with hospital bed & equipment
  • Assistance prone push transfers
  • Independence with community mobility in power wheelchair
  • Independence with short distance house hold mobility in manual wheelchair
  • Independence with hook and lean for pressure relief
25
C6 Muscles & Available moment
- Can almost be totally independent - Muscles: ECR, pronator teres, infraspinatus, lats, pec major, serratus anterior, teres minor - Available moment: Shoulder flexion, extension, IR, adduction; scapular abduction & IR; forearm pronation; wrist extension w/ tenodesis grasp; cough assist
26
C6 bed mobility
Max assist (use momentum, hook elbow onto ladder/rail
27
C6 transfers
- Can vary from dependent to hoyer | - Max A to CTG via slideboard
28
C6 Wheelchair mobility
- Household mobility in ultralight manual wheelchair with projection rims - Community mobility in power wheelchair
29
C6 functional goals
- Independent with ADLs, require assistance w/ dressing b/c energy expenditure - Independence with bed mobility on firm surfaces - Independence with transfers on level surfaces - Independent manual wheelchair mobility level surfaces
30
C7 muscles & available moment
- Muscles: EPL, EPB, extrinsic finger extensors, FCR, triceps - Available moment: Elbow extension, wrist flexion, finger extension
31
C7 bed mobility
Min A - Mod A - use momentum or bedrail
32
C7 transfers
- Can vary from dependent to hoyer | - Min A to supervision via slideboard
33
C7 wheelcahir mobility
- Household mobility in light weight manual wheelchair | - Depending on UE status, age, weight, and level of activity, certain patients may be in power wheelchairs
34
Functional goals for C7
- Independent bed mobility w/out equipment - Independent transfers for all surfaces - Independent pressure relief - Independent manual wheelchair propulsion (may need some assistance with uneven terrain) - Independent dressing and self ROM
35
Treatment considerations for C7
- Shoulder & elbow injuries - Use of FES - Shoulder taping - Strengthening activities - Modalities - Swimming
36
C8-T1 Muscles & available moment
- Muscles: Extrinsic finger flexors; FCU; FPL; FPB; Intrinsic finger flexors - Available Moment: Full innervation of UE muscles including fine motor skills and strong grasp
37
C8-T1 bed mobility
Can vary from min A to independent
38
C8-T1 transfers
Can vary from mod A to independent with slideboard
39
C8-T1 wheelchair mobility
- Household mobility in ultralight weight manual wheelchair | - Community mobility in power wheelchair
40
C8-T1 Functional Goals
- Independence with transferring wheelchair in and out of vehicle - Independence with ADLs and bowel and bladder management
41
T2-T6 Muscles & anticipated outcome
- Muscles: Corresponding to level of injury - partial intercostals, back muscles - Available moment: Full UE muscle strength (grip + fine motor); intercostal assistance for breathing; postural back muscles
42
T2-T6 bed mobility
Min A to independent
43
T2-T6 transfers
Mod A to independent with slideboard
44
T2-T6 wheelchair mobility
- Household mobility in ultralight manual wheelchair | - Community mobility in power wheelchair with power seat functions
45
T7-T12 muscles & anticipated outcome
- Muscles: Corresponding to level of injury - intercostals, abdominals, back muscles - Available moment: Full UE strength (grip + fine motor), intercostal assistance for breathing; postural back and abdominal muscles
46
T7-T12 bed mobility
Independent without bedrail
47
T7-T12 transfers
Independent via slideboard or squat pivot
48
T7-T12 wheelchair mobility
Household and community in light weight manual wheelchair
49
T7-T12 Ambulation clinical criteria
- Musculoskeletal integrity - Motivation/commitment - ROM - Spasticity - Tolerance to upright - Cognition - Balance
50
L1-L3 muscles & available moment
- Muscles: Gracilis, iliopsoas, sartorius | - Available moment: Hip flexion, adduction
51
L1-L3 bed mobility
Independent without bedrail
52
L1-L3 transfers
Independent via squat pivot
53
L1-L3 wheelchair mobility
Household and community mobility in light weight manual wheelchair
54
L1-L3 ambulation
Can vary from independent to mod A for household ambulation with bracing and assistive device
55
L4-L5 muscles & available moment
- Muscles: QL, sartorius, ED, quads, medial hamstring, posterior tib, anterior tib, low back muscles - Available moment: strong hip and knee flexion, weak knee extension
56
L4-L5 bed mobility
Independent without bedrail
57
L4-L5 transfers
Independent via squat pivot transfer
58
L4-L5 wheelchair mobility
Household and community mobility in light weight manual wheelchair
59
L4-L5 ambulation
With household and short-mod community ambulation with bracing as needed and assistive device

Neuro Disorders (14 decks)

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