SCI Main Ideas

Question 1

Neurological Level

Answer 1

Most distal n root level that is INTACT for bilateral S and M

normal sensation and 3/5 MMT with 5/5 right above

Question 2

MOST to least common types OF SCI

Answer 2

Incomplete tetra
complete para
incomplete para
complete tetra

Question 3

Most common levels ?

Answer 3

C4-6
T12-L1

mobile/stable

Question 4

what do steroid help wtith in the acute phase of SCI

Answer 4

preserve damaged nerve cells and reduce tisssue damage/bleeding

Question 5

what does methylprednisone help with

Answer 5

gold standard!!! reduce damage caused by inflammation of SC and busting open of damaged cells releasing toxic components of cells into healthy cells (prevents progressive damage)

Question 6

Halo precautions

Answer 6

no overhead reaching, no lifting more than 5 lbs, bathing restrictions, avoid crowds

Question 7

Spastic/reflexive Bladder

Answer 7

UMN, above L1 injury
bladder fills and reflex automatically triggers it to empty

Question 8

Flaccid or non-reflexive bladder

Answer 8

LMN injuries at L1 or below
loss of ability to empty bladder automatically
-can become over stretched and back up into ureters

Question 9

Lying pressure reliefs
sitting pressure reliefs

Answer 9

turn every 2 hours
every 30 mins for 1 minute each time

Question 10

AD is crisis for SCI at or above ____ level

Answer 10

T6

Question 11

AD causes ____ of blood vessels of skin and viscera resulting in ____ BP above Neuro level

Answer 11

constriction
increased

Question 12

what is autonomic dysreflexia

Answer 12

massive uncompensated reaction of the sympathetic division of ANS to noxious stimuli below level of lesion

Question 13

lesions above ______ require artificial ventilation due to _______ n involvement

Answer 13

C4

phrenic n

Question 14

lesions from _____ can lead to inspiratory and expiratory muscle weakness

Answer 14

C5-T12

Question 15

Pulm complications LEVEL
diaphragm

Answer 15

C3-5

HARDER to breathe in sitting

Question 16

Pulm complications LEVEL
intercostal mm

Answer 16

C5-T12
decreased VC

Question 17

abdominal muscles help with

Answer 17

coughing, singing, yelling (forceful expirations)

Question 18

avoid tracheostomy in _____ and below

Answer 18

C4

Question 19

ventilators for levels ______

Answer 19

C1-5

Question 20

______can we weaned off of ventilators

Answer 20

C4-5

Question 21

phases of spasticity

Answer 21

spinal shock
patterns: flexor synergy, extensor synergy
Plateu

Question 22

5 stages of grief

Answer 22

denial
anger
bargaining
depression
acceptance

Question 23

home evaulation accessibility width:

Answer 23

32” min
36” is comfortable

Question 24

bathroom modifications
shower and tub

Answer 24

roll in shower 5x5, can convert to a tub area 3x5

tub: no shower doors, hand held shower 60” in length

Question 25

bathroom modifications: toilet

Answer 25

raised toilet 20" - level transfer ideal

Question 26

access to home: ramps length

Answer 26

Length: for every inch of step, need 12 inches of ramp

Question 27

ramps top landing

Answer 27

must extend 1'6" on latch side of door