SCI Levels/Complications
A medical complication in individuals with a level T6 SCI and above that is common in the acute phase of rehabilitation and affects blood pressure
What is orthostatic hypotension?
3 ways that pressure sores can be prevented
What is pressure relief schedule, skin inspections, adequate nutrition and hydration, specialized seat cushions, properly fitting clothing, routine turning in bed, protection of bony prominences?
What type of deficit impairs a person's ability to recognize and identify familiar objects and people?
visual perceptual deficit
What is known as the three step process of thickening of the lens, convergence of the lens, and pupillary constriction?
Accommodation reflex
If a patient has a subluxation, what UE intervention provides proprioceptive input and assists with muscle contraction?
What is weight-bearing?
A medical complication that causes sepsis in individuals with a SCI if not treated
What are pressure sores/injuries?
Breathing: Suction equipment, ventilators
Communication: mouth stick and AT (computer and communication board)
Daily tasks: Mouth stick, environmental control unit (ECU)
Mobility: power manual lift, electric or semi-electric hospital bed, power wheelchair
Implementing improved organization for laundry tasks can help individuals localize objects of similar colors against a disorganized background when experiencing what visual perceptual deficit?
figure-ground discrimination
A pt. is unable to recognize and identify familiar faces caused by lesions of the right posterior hemisphere?
prosopagnosia
If a patient is working on a skateboard horizontal ABD on a table, what muscles would you be focusing on strengthening?
What is the middle and posterior deltoid?
A life-threatening medical emergency seen in individuals whose injury is at the T6 level and above
What is autonomic dysreflexia?
3 types of adaptive equipment for a client with a C5 SCI
Daily tasks: universal cuff for attachment of utensils
Mobility: wheelchair, power or manual lift, electrical or semi-electrical hospital bed
Bowel and bladder: roll in padded shower chair and commode chair
If an individual has difficulty with spacing and organization of written work or tends to run into items within their environment, what visual perceptual deficit might they have?
spatial relations
What is 3 components included in a visual screen for a low level TBI?
-visual history
-observation
-acuity
-pupillary size
-ocular alignment
-object fixation
-visual pursuit
What position should the thumb and wrist be in to promote opening a tight hand?
What is thumb ABD and wrist extension?
What is the result of the inability to empty the bladder, incontinence, urinary frequency, and UTI?
neurogenic bladder and bowel
2 interventions consideration priorities for clients in acute care setting with SCI
Joint integrity and positioning
Initiating self-care training and early mobilization
An individual requires moderate verbal cues to complete dressing tasks. They tend to put both legs into the same pant leg and have difficulties sequencing steps when putting on a shirt. What perceptual deficit may this individual have?
dressing apraxia
What is the purpose of the visual hierarchy by Warren?
Higher level skills (visual attention and visual memory) are built on foundational skills of visual acuity? visual fields, and oculomotor control.
A client has tightness in scapular depression - what would you stretch and what would you strengthen?
What is stretching the trapezius lower and strengthening the levator scapula?
A pt. sustained cervical and high thoracic lesions, what is the complication?
decreased vital capacity
Client is in inpatient rehab with a T3 SCI, name 2 intervention priorities to address
LBD, bowel and bladder management, W/C skills, psychosocial adjustment, UE strength and endurance
An intervention consisting of providing a client with a picture of half of a house drawn and asking them to finish the picture would be a remedial intervention for what?
What CN's are responsible for movements of the eye?
CN 3 (oculomotor)
CN 4 (trochlear)
CN 6 (abducens)
If a client is tight in IR, what muscles need to be strengthened for ER?
What are the infraspinatus and teres minor?