SCIs
Pt can independently breathe on their own , and raise shoulders
SCI Level C4
Rhematoid (RA) definition and signs/symptoms
-Systemic , inflammatory, considered an autoimmune condition that can affect eyes, internal organs and many joints congruently.
-tender/warm swollen joints, morning stiffness lasting hours, rheumatoid nodules (small bumps under the skin), fatigue, fever, weight loss
Ramp math
1" rise =12" length
IE: for a 10 inch high step, 10 ft long ramp
Angina and Dyspnea
Angina= Chest pain
Dyspnea=Shortness of breath
Frequent urination, excessive thirst, unexplained weight loss, visual changes, sensory changes of hands and feet, fatigue, slow healing wounds, increase rate of infections
SCI C level at which a patient can be most independent
SCI Level C8
Hyperextention of PIP joint and flexion of DIP joint is an arthritic _____- ____deformity
Swan neck
Positioning and weight shifting techniques in w/c
push up, lateral lean, forward lean, tilt/recline, wedges/rolled towels, check hot spots (arms, back of knees) Check at least x2 a day (am and pm... in shower, etc)
CVD and CAD
CVD= Heart disease
CAD= Coronary Artery Disease (hardening of arteries, decreased O2 to heart)
Fatigue/weakness, visual changes, cognitive changes, numbness/tingling, pain, temperature sensitivites, dizziness, difficulty w ambulation.
MS
SCI level C5
This type of arthritis is a metabolic condition caused when the bodily waste product uric acid deposits tiny needle like crystals into the joints and soft tissues.
Gout
Procedures in safe w/c > bed transfer
having assistance, locking brakes on wheelchair and stable surface, look before lowering bed, lower bed, transfer board if applicable /gait belt if applicable
Met Levels (4)
Minimal <1.5
Light 1.5< 3.0
Moderate 3.0 < 6.0
Vigorous 6+
Symmetric muscular weakness and mild distal sensory loss/paresthesias , weakness in distal muscles, and is a cute and rapidly progressive resulting in complete paralysis.
Guillain-Barre Syndrome
Motor incomplete, with at least 50% of key muscle functions below the lesion having grade of greater or equal to 3/5
ASIA D
Sometimes referred to as the "great imitator" since symptoms mimic RA, Fibromyalgia , thyroid disfunction, diabetes, mellitus, and Lyme disease.
Lupus.
Symptoms of this may be mild or severe , temporary or long term, develop slowly or rapidly. Most common symptoms include painful swollen joints,extreme fatigue, unexplained fever, butterfly shaped rash over nose and cheeks, photosensitivity (light and sun)
An extra wheelchair feature to consider for people with LE amputations
anti-tippers
MET level category of Ironing, washing the dishes, showering in standing, walking 2mph on level surface,Laundry (loading, unloading, folding), and putting away groceries
Light: 1.5 - < 3.0
Neurodegenerative death of brain cells, poor coordination(ataxia), poor balance, decreased stamina and endurance, dyspraxia, chores (jerky,rapid, forceful, twitchy movements) Motor restlessness, bradykinesia, muscle atrophy, osteoporosis
Huntington's Disease
A pt with a spinal cord injury due to hyperflexion during an accident has no movement below the injury site and cannot determine the different between hot/cold. She can however feel light touch. What is the likely spinal cord syndrome?
Anterior Cord Syndome
Although it is considered an arthritic disease, it is characterized by widespread musculoskeletal pain instead of joint pain or destruction. Sleep deprivation, fatigue, memory impairment, and psychosocial issues accompany this disease.
Fibromyalgia. Scientists believe fibromyalgia amplifies pain sensations/affects the way brain processes pain signals.Can accompany immediately after trauma or psychological event and develop over time,other causes genetics/hereditary, infections.
How many feet should be allotted to allow for wheelchair turning clearance?
5 by 5
MET level of changing bed linens, sweeping garage/sidewalk, yardwork, slow stair climbing, resistance training 8-15 repetitions, circuit training
Moderate 3.0-<6.0
Dysphagia, vestibular issues, cognitive deficits, hemiparesis/hemiplegia, sensory impairment, aphasia, visual impairment, apraxia, ataxia
TBI (remember two types...!)
*Traumatic = (^ impulsivity, ^ irritability)
*Non traumatic = (anoxia/lack of O2 to brain... decreased energy and affect.)