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9 Cards in this Set
- Front
- Back
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Safety issues for all SCI pts
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Skin precautions (shearing, blunt, pressure)
Orthostatic hypotension and autonomic dysreflexia Tenodesis grasp Osteoporosis First 6-8 wks = unstable C-sp so avoid Shld ROM > 90deg, strong contraction of shld mm L-sp avoid hip flexion > 90 deg and limit PROM of SLR |
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Functional ways to srengthen SA to allow sitting push up
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Prone on elbows w/ MR or sandbags
During rolling with MR |
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Why is scapular winging and DR so common at C6 NL
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Deltoid and LT overpowers weak SA and has a moment to cause DR/winging
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3 tools used to teach pts to compensate for mm
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Substitution using gravity
Substitution using tension in passive structures Substitution using fixation of the distal extremity |
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Where do you need greater than or less than muscle length for functional mobility
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Tightness of low back for transfers and bed/mat activities
Tightness in finger flexors for tenodesis grasp Loos shoulders to allow EXT and ER especially if no triceps Loose HAMS to allow long-sitting, dressing, mat mobility Hyperext at elbow especially w/out triceps |
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Things to work on in supine on elbows
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Shld ROM of WB and Non-WB shlder
Single limb WB and pivoting Stability and mobility |
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Suggestions to promote pt learning
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Plan for success to inc motivation
Practice tasks that are difficult but doable Mult reps to enhance mo learning Practice skills in non-therapy settings Intersperse practice once pt can perform task Phys and verbal guidance early |
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What do you need to consider before using equipment to accomplish a functional goal?
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Extent/level of neurological damage
Establish need - can create funcitonal dependence Medical need - short or long term? Know the equipment and choose the best one for your pt |
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Basic skills to perform mat activities
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Supine on elbows
Prone on elbows Balancing on one UE Additional: sitting push-up, long sitting balance |
