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Neuro E&I
Transfers & Mat Mobility: SCI
| Question | Answer |
|---|---|
| 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
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