Spinal Cord Injury Flashcards Preview

7/13/15 NBCOT Exam > Spinal Cord Injury > Flashcards

Flashcards in Spinal Cord Injury Deck (14):
1

Complete lesion - SCI

in the absence of motor/sensory function below the level of injury

2

Incomplete lesion - SCI

involve a number of neurological segments and sensorimotor function may be partially or completely intact.

3

syringomyelia

growing cyst in spinal cord

4

myelomeningocele

birth defect caused when the backbone and spinal canal do not close before birth

5

C1-C4

respiratory assistance required
complete assistance for personal care

Movement
-limited head/neck movement
-quadriplegia
-no bowel/bladder control

Mobility
-electric w/c w/sip and puff

6

C5

low stamina, but breathing w/diaphragm
complete assistance for personal care

Movement
-full head/neck
-raise arms
-flex elbows (no extension)
-no bowel/bladder control

AE
-use mobile arm support (due to weakness)
-use dorsal wrist braces w/pockets for utensils

Mobility
-electric w/c w/hand controls (dorsal wrist splint)
-dorsal wrist splints to push w/c (projection rims) for short distances

7

C6

low stamina, breathing w/diaphragm
mod assist for personal care (will be able to be Indep w/cares)

Movement
-full head/neck
-raise arms
-flex elbows (no extension)
-wrist extension
-little or no bowel/bladder control (digital stim)

AE
-slide board transfers
-tenodesis splint - clean self-catheterization

*tenodesis splint (flexor hinge hand orthoses) for pinch

Mobility
-electric w/c w/hand controls
-manual w/c for short distances
-driving w/special hand controls

8

C7

low stamina, but breathing w/diaphragm
limited assistance for personal care (will be able to be Indep w/cares)

Movement
-full head/neck
-raise arms
-flex elbows (no extension)
-wrist extension
-Wrist flexion
-partial finger movement
-little or no bowel/bladder control (digital stim)

AE
-tenodesis splint - clean self-catheterization

Mobility
-Indep transfers
-electric w/c w/hand controls
-manual w/c for short distances
-driving w/special hand controls

9

C8

low stamina
-Indep for personal cares

Movement
-full head/neck
-raise arms
-flex elbows (no extension)
-wrist extension
-Wrist flexion
-partial finger movement

AE
-No longer needs tenodesis splint
-balance is better

Mobility
-Indep transfers
-electric w/c w/hand controls
-manual w/c for short distances
-driving w/special hand controls

10

T1-T5

Normal UE ROM and strength

Mobility
-Manual w/c

11

T6-T12

Normal UE ROM and strength

Mobility
-Manual w/c
-standing frame/walk w/braces

-Swing through gait (T6)
-2 point alternating gait (T12)

12

L1-L5

Normal UE ROM and strength
partial paralysis in hip/legs

Mobility
-Indep transfers
-manual w/c
-walk w/braces

-2 point alternating gait patter w/short leg braces

13

S1-S5

Normal UE ROM and strength
some loss of function in hips/legs

-bowel/bladder function!


Mobility
-Indep w/transfers
-able to walk w/assistance or aids

14

Autonomic dysreflexia can be addressed by

standing the client up
loosening restrictive clothing/devices
checking catheter for obstruction