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Spinal cord injury
basics and functional goals for each level
| Answer | Hint |
|---|---|
| SCI medical complications | autonomic dysreflexia, heterotopic ossification, DVTs, pulm emboli, UTIs, pressure sores, pneumonia |
| stabilization devices | halo, cx collars, TLSOs |
| Elements of eval | hx, premorbid factors, precautions, skin, sensory, tone, rom, mmt, |
| goals c1-c3 | I in power WC w/ head control, I communication w/ ECU (will be dependent for most ADLs) |
| goals c3-c4 | I w/ pressure relief, I w/ power WC head controls, I w/ some feeding and adaptive eqpt, I w/ECU |
| c5 goals | I w/ eating, tooth brushing, some ADLs; mod A with bed mobility in hospital bed; assisted prone push transfers, I w/ community mobility in power WC, I w/ short distance HH manual WC propulsion w/ projections, I w/ hook and lean for pressure relief |
| c6 goals | I with most ADLs, assist w/ dressing, I w/ bed mobility on firm surfaces, I transfers on level surfaces, I manual WC mobility on level surfaces w/ coated rims or power WC |
| c7 goals | I bed mobility w/o eqpt; I transfers all surfaces (incl car), I pressure relief, I manual WC propulsion level surfaces, I with dressing and self ROM |
| c8 goals | I w/ moving WC in/out of car, I w/ADLs and B&B mgmt |
| t2-t6 goals | I floor to WC transfers, I standing w/ standing frame |
| t7-t12 goals | I w/ all manual WC skills,ramps, curbs, uneven terrain; I household amb w/ KAFOs, RGOs possible but may not be ftnl due to energy expenditure |
| L1 goal | may amb w/ KAFOs for exercise or I household mobility |
| L2 goal | amb household and short distances in community |
| L3 goal | I community amb w/ KAFOs/AFOs |
| ASIA A | complete: no sensory or motor ftn is preserved in sacral segments S4-S5 |
| ASIA B | Incomplete: sensory but not motor ftn is preserved below the neurological level and includes the sacral segments S4-S5 |
| ASIA C | Incomplete: motor ftn is preserved below the neurological level and more than half of key ms below the neurological level have a ms grade less than 3 |
| ASIA D | Incomplete: motor ftn is preserved below the neuro level, and at least half of key ms below the neuro level have a ms grade of 3 or more |
| ASIA E | Normal: motor and sensory ftn are normal |
Created by:
2rabbits
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