Treatment, Bed Mobility & Transfers Flashcards
1
Q
Complete
A
- compensation
- new ways to move
2
Q
Incomplete
A
- remediation or compensation
- take into account strength, spasticity and sensation
3
Q
Prerequisites for Function
A
- strength
- ROM
- Balance
- Endurance
- Spasticity (mild-mod, can assist with function)
4
Q
Strength
A
- begin ASAP
- all muscles need to be strengthened (even 5/5)
- if it has a twitch we can strengthen it
5
Q
ROM
A
- stretching, splinting, positioning
- prevent contractures
- increase ROM to aid in ADLs (i.e. dressing)
6
Q
Teaching Skills
A
- part practice
- (can help simplify task, can focus on strengthening in part of a skill)
- many tasks are serial by nature
7
Q
Precautions
A
- orthopedic (surgical stab)
- cardiovascular (orthostatic hypotension)
- integumentary (skin compromise)
- neuromuscular (autonomic dysreflexia)
8
Q
demonstrations
A
-really good to get other patients to demo for them
9
Q
3 Main Strategies for Enhancing Functional Movement
A
- Mm substitution
- Momentum
- Head-hips ratio
10
Q
Mm substitution
A
- when Mm absent/weak
- use Mm in different ways than normal
3 ways
- sub with gravity
- sub with tension in passive structures
- sub with fixation of distal extremity
11
Q
Momentum
A
-incorporate many joints into movement as possible to increase force
12
Q
Head-Hips Relationship
A
- head movements cause hips to move in opposite direction
- use with transfers
13
Q
3 Ways to Mm Substitute
A
- sub with gravity
- sub with tension in passive structures
- sub with fixation of distal extremity
14
Q
Transfers with cSCI
A
- scoot pivot transfers
- equipment needs
15
Q
Transfers with iSCI
A
-take into account spasticity, sensation
