Flashcards in Spinal Cord Injury I [Exam Prep] Deck (15)
What were the results of the review article by Berlowitz (2013) regarding respiratory muscle training in cervical SCI?
Respiratory muscle training can improve vital capacity and respiratory muscle strength in cervical SCI
However, there was no evidence of carryover beyond the training period
What did the systematic review by Harvey (2009) conclude regarding physical interventions after SCI?
There is initial evidence for the effectiveness of fitness training, strength training, gait training and acupuncture for people with SCI
However, there is a need for high quality trials to determine the effectiveness of all physical interventions commonly used in clinical practice
What did the systematic review by Katalinic (2011) regarding stretching for neurological populations?
Regular stretch does not produce clinically important changes in joint mobility, pain, spasticity or activity limitation in people with neurological conditions
What did the review article by Reid (2009) summarise about secretion removal in SCI?
Evidence the supported the use of secretion removal techniques in SCI, while positive, is limited and mostly of low level.
Treatments that increase respiratory muscle force show promise as effective airway clearance techniques
What did the systematic review by Sheel (2008) summarise about respiratory muscle training in SCI?
There is insufficient data to STRONGLY SUPPORT the use of exercise training or IMT for improved respiratory function in people with SCI
Although there was some efficacy of both treatments, the evidence was not of best possible quality
Spinal Cord Injury impairs _______ control of respiratory muscles, and in turn respiratory function
What happens with lesions above C3?
Complete paralysis of all muscles involving respiration; requires immediate and on-going ventilatory support in order to sustain life
We must remove the _______ for autonomic dysreflexia
The noxious stimuli
Autonomic Dysreflexia refers to
An over-active autonomic nervous system, which causes an abrupt onset of excessively high blood pressure
The immediate treatment for Postural Hypotension is to
Lie the patient down and raise the feet or tilt the wheel chair backwards
Postural hypotension is particularly pronounced..
When patients first mobilise after injury, especially if there was an extended period of prior bedrest
Postural hypotension is due to
A loss of supra-spinal control of the sympathetic nervous system and the resultant inability to regulate blood pressure