Spina Bifida
What is known as the most severe form of spina bifida and is often associated with hydrocephalus, seizures, and other orthopedic and medical complications
What is Spina Bifida Myelomeningocele
No sensory or motor function in the lowest sacral segments (S4 & S5)
What is a complete spinal cord injury
Happens suddenly, starts out sharp or intense and serves as a warming sign of disease or threat to the body.
What is acute pain?
Be close to the client, bend the knees, use your legs not back, keep a wide base of support, keep heels down, keep a neutral spine
What are proper body mechanics during a transfer?
You will see reactive hyperemia, and pressing the area lightly with a finger will result in blanching
What is stage 1 of a Decubitus Ulcer?
ADLS across the lifespan, developing sensory programs, accessing play, providing appropriate seating and positioning support, etc.
What is the role of occupational therapy for a child with SB?
Presented when an individual has motor or sensory function below the neurological level but does not have function.
What is the Zone of Partial Preservation?
Specificity theory, Gate-Control theory, Biopsychosocial Models, Disablement Models
What are models of pain?
Client comes to a standing position, then pivots on both feet. Commonly used on clients with hemiplegia, hemiparesis, or general loss of strength or balance
What is a stand pivot transfer?
Generate when two surfaces move across each other in the opposite direction, often increased with increased friction
What are shear forces?
Includes hydrocephalus, lack of bladder and bowel control, depression, weight issues, mobility issues, and learning disabilities
What are complications associated with SB?
Occurs from hemi-section of the spinal cord typically caused by penetration wounds such as gunshots or stab
What is Brown Sequard Syndrome?
Includes bradykinin, serotonin, histamine, and potassium and functions to reduce threshold for pain receptors and stimulate thermosensitive receptors
What are chemicals that excite pain receptors?
Includes lack of rest, obesity, age, lifting with back, slouched sitting, repetitive twisting/jerking motions, genetics
What are individual factors that lead to back pain?
A feature on a wheelchair that can increase it's versatility in conjunction if used with an appropriate cushion.
What is an adjustable back rest?
In utero surgery preformed at 24-26 weeks of gestation that may be especially beneficial
What is Open Fetal Surgery
Does not involve damage to the spinal cord itself but rather to the spinal nerves that extend below the end of the spinal cord
What are Cauda Equina Injuries?
1. Pain
2. Fear of injury
3. Fear of movement
4. Less movement
5. Deconditioning
6. Physical and mental deconditioning
What is the chronic pain cycle?
What are forces on the vertebral disks during a transfer?
Necrosis has penetrated the deep fascia and has began to affect the muscle tissue, bones may be involved and infected.
What is a stage 5 Decubitus ulcer?
Focuses of behavior of posture, spontaneous and reflexive movements, muscle tone, and deep tendon reflexes
What is infant motor examination?
Consists of the lateral and ventral corticospinal tract, vestibulospinal tract, and reticulospinal tract
What are the Descending Efferent (motor) pathways?
Uses a Likert scale to assess perception of disability across 7 categories of life: Family/home responsibility, recreation, social activity, occupation, sexual behavior, self care, life-support activities
What is the Pain Disability Index?
Requires clinicians and physicians to analyze risks, education alternative ways to reduce risk in the workplace, restricts manual patient handling using equipment, and requires an annual report
What is the Safe Patient Handling Law of 2005 (Texas)?
An ultralight manual wheelchair that is made to be extreme customizable and adjustable
What is a K5 manual wheelchair?