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52 Cards in this Set

  • Front
  • Back

UE MO:

brachialis/ biceps

LE MO:

quads (MO)

MC site of formation is next to major jt. below the level of lesion

HO

for MO & HO; limit increase of size of the bone but if it limits ROM= surgery

Disodium Ethidronate

Due to lack of stress to the bones (Woff's Law) Most common sites of fracture:


1. Femur (Distal)


2 Tibia (Proximal)

Osteoporosis/Fracture

pathologic fx secondary to osteoporosis

Osteoporosis/Fracture

Osteoporosis/Fracture


Most common sites of fracture:

1. Femur (Distal)


2. Tibia (Proximal)

the greater the stress to the bone the greater the boneformation; by weight bearing and muscle contraction

Woff's law

Due to muscle imbalances and positioning

Contractures

infant pressure ulcer location:

occiput

May depend on SCI level

Contractures

Contractures


C5 SCI

Elbow Flexion cont.

Contractures


L2 SCI-

Hip flexion cont.

Pressure sores Best intervention:

PREVENTION

Pressure sores Best intervention: PREVENTION

1. Turning every 2 hours


2. Pressure relief every 15-20 minu tes

Pressure sores


SCi (Supine)

Sacrum

Pressure sores


SCI (Wheelchair)

Ischium

Most common during first 2 months after SCI

Deep Vein Thrombosis(DVT)

Deep Vein Thrombosis(DVT)


Virchow'sTriad:

Hypercoagulability


intimal damage


Venous stasis

Deep Vein Thrombosis(DVT)


Prophylactic Management:

Heparin


Warfarin


PT/OT

Deep Vein Thrombosis(DVT)


PT/OT

PROME


Leg elevation with Ankle pumping

48% - 10% of SCI

Deep Vein Thrombosis(DVT)

Second most common cause of death in SCI

Cardiac Complications

Due to sedentary lifestyle -> CAD

Cardiac Complications

Most common cause of death in SCI -> preumonia

preumonia

Depends on the level of the lesion (the higher the more common)

Pulmonary Complications

most important that develops DVT

venous stasis

no ms. pumping -> venous stays -> coagulability -> initial damage

venous stasis

Phrenic nerve stimulatoror artificialventilatoris ineeded above what SCI level?

C4

To prevent pulmonarycomplicationsin a C5 SCI patient what breathingexercise is best to teach?

Diaphragmatic breathing

To prevent pulmonarycomplicationsin a C3 SCI patient what breathingexercise is best to teach?

glossopharyngeal breathing

To prevent mucus from accumulating in the patient'slungs a C5 SCI patient should be taught:


manual assisted coughing/ assisted coughing

phrenic nerve

C3, C4. C5

uses intact diaphragm

Diaphragmatic breathing

glossopharyngeal breathing aka

frog breathing

d/t impaired diaphragm

glossopharyngeal breathing

needs abdominals

coughing


huffling

push epigastric area upward & inward using the heel of the hand during EXPIRATION

Assisted coughing/ manually assisted cough

level of self-assisted cough (d/t (+) wrist extension)

C6

C4


C5


C6


C7-C8

quadriplegia

T1-T8


T9-T12


L1-L3


L4-L5

paraplegic levels

Power chairs


"SIP and PUF"


Chin Control


Head Control


Tongue Control


Voice Control

C4

Oblique HRP

C5

Vertical HRP

C6

Friction Surface HR (C7)/ Standard (C8)+ "Wheelie"

C7-C8

KAFO+Walker+Swing TO

T1-T8

KAFO+Loftstrand+ Swing TO

T9-T12

KAFO+Loftstrand+ 4-Pt.

L1-L3

AFO+Loftstrand +2-Pt.

L4-L5

T6 SCI patient uses which of the ff for ambulation?

KAFO

L2 SCI uses:

KAFO + Loftstrand

T10 SCl uses which gait pattern?

swing to