Neurorehab: SCI Mobility and Exercise Prescription Questions with 100% correct answers + detailed rationales

what are the 3 phases of recovery?

1. acute phase (2-3 weeks)

2. inpatient rehab (4 weeks)

3. outpatient rehab (up to 1 year)

you are working with a SCI pt in the acute phase. What are some interventions you should address?

- respiratory management

- ROM and positioning

- selective stretching & strengthening

- skin protection

- initiate OOB

- SCI education

you are working wit a SCI pt in the inpatient rehab phase. What. are some interventions/goals for the pt?

- rehab is focused on achieving funcitonal goals

- CVP response

- skin protection

- adaptive equipment

- WC selection & skills

- strength & stretching

- standing activities

- initiate locomotion

- home eval

what are some strategies for pre funcitonal mobility and strengthening?

scapular mobility and proximal patterns

prone, long sitting on mat, rolling progression

what are some strategies for cervical strengthening and positioning?

- correction of head posture (chin tucks)

- WC positioning (dump position)

- cervical collar if appropiate

what are some scapular/shoulder strengthening strategies?

- weight bearing (prop sitting)

- gravity eliminated

- against gravity

- resisted

- PNF patterns

how do you teach rolling in your C6 SCI pt?

1. pre-swing

2. swing

cross feet and use momentum for roll while assisting from behind at hips or scapulas

How would you get your C6 SCI pt from supine to long sitting?

- crawling on the side and hook biceps on leg to sit up

or

- locking elbows with hand behind and externally rotatied

when working on transfers with a SCI pt, what should you consider?

- C5 or below should use slide boards

- work on all types of transfers (mat, bed, couch, car..)

- note strength & stability of scapula (don't want a RTC tear)

what are the 4 sub-tasks for transferring WC to bed/mat?

1. move to edge

2. position feet on floor

3. position hands

4. shift body and head rotated away

what are the 2 types of spinal cord stimulation?

1. transcutanous spinal stimulation

2. epidural spinal stimulaiton

what are some common gait deviations after a sCI?

- foot flat or forefoot contact

- extension thrust/ wobble knee

- excessive PF

- foot drag

what are two things you should question/consider when performing gait training in SCI pts?

1. Recovery vs Compensation

2. to brace or not to brace

locomotor training on treadmill

rbot asssited stepping

what are some orthotics for complete SCI pts?

- RGOs

- B/L KAFOs

- B/L AFOs