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Neuro E&I

Transfers & Mat Mobility: SCI

QuestionAnswer
Key Concepts for SCI Transfers 1. Use of momentum 2. Head-hips relationship 3. Maintenance of tenodesis and tight LB 4. Protect Skin
A SCI pt. without active use of triceps (C6 and above) will need to transfer in what compensatory position of the UE? Lock into elbow extension -Shoulder ER and Forearm supinat
Expected outcomes (ASIA A/B) for a patient with C4 injury. Discuss transfer, self care, and mobility C4 Transfer: Dependent (needs caregiver) Self Care: I w/direction of care Mobility: I w/ pwc
Expected outcomes (ASIA A/B) for a patient with C5 injury. Discuss transfer, self care, and mobility Transfer: Dependent to Max A Self Care: I pressure change Mobility: I w/ pwc
Expected outcomes (ASIA A/B) for a patient with C6 injury. Discuss transfer, self care, and mobility C6 Transfer: Min A to Mod I. May be I w/ transfer board Self Care: I pressure relief Mobility: I w/ mwc
Expected outcomes (ASIA A/B) for a patient with C7 injury. Discuss transfer, self care, and mobility Transfer: I w/ even transfers Self Care: I w/ self care Mobility: Stow wc in car, I small curbs
Expected outcomes (ASIA A/B) for a patient with C8-T1 injury. Discuss transfer, self care, and mobility Transfer: I w/ uneven transfers (floor and high) Self Care: I w/ self care Mobility: I w/ wheelies for curbs
What two aspects are crucial for bed/mat mobility in the SCI patient? Long Sit Balance and HS Flexibility
Expected Outcomes for Bed Mobility: C4 Dependent. I with direction of care
Expected Outcomes for Bed Mobility: C5 Mod to Max A, electric bed
Expected Outcomes for Bed Mobility: C6 Min A. to independent
Expected Outcomes for Bed Mobility: C7 and lower independent
What movements/goals are necessary for successful bed/mat mobility in the SCI patient? 1. Rolling 2. Supine to Long Sit 3. Long SIt to Short Sit 4. Sit to Supine 5. Ability to Scoot 6. Leg Management
In SCI Rolling, what consideration must be taken with C5 patients? When throwing arms in direction of roll, swing away so they avoid hitting themselves in the face. Biceps are innervated.
How would a patient with a C5 SCI injury move from supine to long sit? Discuss the method she presented. Pt. would walk forward on bent elbows. Then hyperextend and ER shoulder to lock it out before moving forward. Or they can use loops to pull themselves up.
To maintain tenodesis, what should a pt. be cautious of when WB'in through their hands? Avoid long finger extension when weight bearing through their hands by keeping a "fist" position
Created by: Phillypino