Transfers & Mat Mobility: SCI
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| Key Concepts for SCI Transfers | 1. Use of momentum
2. Head-hips relationship
3. Maintenance of tenodesis and tight LB
4. Protect Skin
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| What two aspects are crucial for bed/mat mobility in the SCI patient? | Long Sit Balance and HS Flexibility
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| Expected Outcomes for Bed Mobility: C4 | Dependent. I with direction of care
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| Expected Outcomes for Bed Mobility: C5 | Mod to Max A, electric bed
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| Expected Outcomes for Bed Mobility: C6 | Min A. to independent
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| Expected Outcomes for Bed Mobility: C7 and lower | independent
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| 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
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| 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.
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| 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.
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| 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
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