Rehabilitation Management of Secondary Skeletal Conditions

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What is the most common site for heterotopic ossification formation following a spinal cord injury?

Knees

Hips (correct)

Shoulders

Elbows

Which clinical presentation is indicative of heterotopic ossification?

Joints/muscle pain without sensation (correct)

Reduced tissue swelling

Gradual increase in PROM

High-grade fever

What is the most impactful factor for developing heterotopic ossification?

Complete pneumonia

Pressure ulcers

Smoking

Urinary tract infections (correct)

Which medication is commonly used for prophylactic treatment of heterotopic ossification within 3 weeks after spinal cord injury?

Indomethacin Signup and view all the answers

What is the recommended timeframe for the most effective use of bisphosphonates to slow or halt the progression of heterotopic ossification?

3-6 weeks after injury Signup and view all the answers

Which of the following factors contributes to the development of osteoporosis or osteopenia as a secondary complication in spinal cord injuries?

Limited mobility Signup and view all the answers

What intervention is recommended to reduce the risk of urinary dysfunction in spinal cord injury patients?

Functional mobility training Signup and view all the answers

What percentage of trauma spinal cord injury patients are affected by urinary dysfunction due to neurogenic bladder?

80% Signup and view all the answers

What is one of the impacts of poor voiding control in spinal cord injury patients?

Increased risk of kidney failure Signup and view all the answers

What is a recommended method to assess bowel and bladder control in spinal cord injury patients?

Voluntary anal contraction checks Signup and view all the answers

Which of the following is a benefit of clean intermittent catheterization (CIC) for managing urinary output in medically stable spinal cord injury patients?

Decreased healthcare costs Signup and view all the answers

How do hydrophilic coated catheters contribute to managing urinary issues in spinal cord injury patients?

Decrease the incidence of UTIs Signup and view all the answers

What are common complications for individuals with spinal cord injury (SCI) according to the text?

Pressure ulcers Signup and view all the answers

What is a factor that increases the chances of developing neuropathic pain in SCI patients?

Light touch vs pin prick discrepancy Signup and view all the answers

Which of the following is NOT listed as a cardiometabolic disease associated with SCI in the text?

Type 1 diabetes Signup and view all the answers

What is the immediate impact of SCI on autonomic function according to the text?

Higher chance of hypercholesterolemia Signup and view all the answers

In SCI management, what is recommended as a last resort for cardiometabolic health promotion?

Bariatric surgery Signup and view all the answers

What is the key recommendation for diagnosing cardiometabolic syndrome according to the text?

$3$ or more of abdominal obesity, insulin resistance, dyslipidemia, and low-density lipoproteins development Signup and view all the answers

What is the primary reason why individuals with spinal cord injuries (SCI) are predisposed to an imbalance between osteoclast and osteoblast activity?

Disordered vasoregulation Signup and view all the answers

What percentage of bone loss occurs in the acute and subacute phases after a spinal cord injury (SCI)?

1% bone loss per week Signup and view all the answers

Which type of bone is primarily targeted by osteoporosis in individuals with SCI?

Trabecular bone Signup and view all the answers

What is the most common location for pressure ulcers in the acute care setting for individuals with SCI?

Sacral region Signup and view all the answers

What factor significantly increases the risk of fragility fractures occurring spontaneously or after minor trauma in SCI patients?

Decreased bone density at femur and tibia Signup and view all the answers

Which condition poses the most significant hindrance in individuals with SCI, leading them to experience complications like hospitalization, infections, and even death?