SCI Functional Prognosis Quiz
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Questions and Answers

What is the primary purpose of the recovery phase in wheelchair propulsion technique?

  • To prepare the arm for the next initial contact (correct)
  • To decrease forces applied to the shoulder
  • To improve hand release angle for increased peak shoulder forces
  • To increase speed and decrease the number of strokes
  • Which factor leads to increased demand on shoulder flexors during wheelchair propulsion?

  • More post initial contact on hand rim (correct)
  • Increased push arch
  • Higher post force
  • Lower hand release angle
  • What is the impact of higher shoulder forces and joint compression during wheelchair propulsion?

  • Improved shldr joint relief
  • Associated with arcing above the push rim
  • Increased muscle activity (correct)
  • Decreased demand on ADD and IR
  • Which wheelchair propulsion technique allows for the hand to drop below the level of the top of the wheel during the recovery period?

    <p>Semi-circular</p> Signup and view all the answers

    In wheelchair mobility, what type of injuries are particularly associated with rotator cuff injuries?

    <p>Shoulder flexor injuries</p> Signup and view all the answers

    What is one of the benefits of using the double loop wheelchair propulsion technique?

    <p>Lower braking movements</p> Signup and view all the answers

    What is the recommended elbow flexion angle when resting on the wheel according to the clinical practice guidelines for wheelchair propulsion?

    <p>100-120 degrees</p> Signup and view all the answers

    Which tendon is most commonly compressed due to the highest compression forces during wheelchair propulsion?

    <p>Supraspinatus tendon</p> Signup and view all the answers

    What is the key recommendation to avoid shoulder pain during wheelchair propulsion according to the Paralyzed Veterans of America 2005 guidelines?

    <p>Minimize frequency and force required in repetitive movements</p> Signup and view all the answers

    Which component is emphasized as crucial in a manual wheelchair customized for high-risk patients in the clinical practice guidelines for wheelchair propulsion?

    <p>Lightweight, high-strength materials</p> Signup and view all the answers

    What was added to the recommendations by Sawatsky in 2015 regarding wheelchair propulsion?

    <p>Inclusion of propulsion technique guidelines</p> Signup and view all the answers

    What is a key recommendation for sitting pivot transfers according to Gagnon's clinical practice guidelines?

    <p>Leading hand should minimize shoulder impingement.</p> Signup and view all the answers

    Why is standing rehabilitation beneficial according to the text?

    <p>To increase bone mineral density.</p> Signup and view all the answers

    What makes transfers to a car particularly demanding?

    <p>The significant gap between the wheelchair and car seat.</p> Signup and view all the answers

    What is a recommended frequency for pressure relief from sitting for therapeutic benefits?

    <p>5 times a week for 30 minutes.</p> Signup and view all the answers

    What physiological benefit does locomotor training aim to achieve?

    <p>Normalize joint integrity.</p> Signup and view all the answers

    Why should a painful shoulder be used as the leading arm during transfers, according to the text?

    <p>It minimizes shoulder pain during transfers.</p> Signup and view all the answers

    What are the significant predictors of outcome in terms of Asia motor scores and AIS classifications?

    <p>Neurological level, surgical timing, and pattern of injury</p> Signup and view all the answers

    What is the impact of the use of methylprednisolone on recovery following a spinal cord injury?

    <p>No impact on recovery outcomes</p> Signup and view all the answers

    What is the conversion rate from AIS A to higher levels after a year of injury?

    <p>15%</p> Signup and view all the answers

    Which group of patients shows increased rates of conversion from complete to incomplete motor injuries?

    <p>Patients with cervical level injuries</p> Signup and view all the answers

    What is a key indicator for functional ambulation according to van Middendorp (2011)?

    <p>Strength and sensation to light touch in L3 or quadriceps</p> Signup and view all the answers

    What percentage of complete tetraplegic patients are able to recover greater than 3/5 strength by at least a year post-injury?

    <p>65%</p> Signup and view all the answers

    What is the recommended velocity for wheelchair propulsion to aim for, similar to gait for community function?

    <p>1.06 meters per second</p> Signup and view all the answers

    What is the recommended contact angle for wheelchair propulsion based on the text?

    <p>85 to 100 degrees</p> Signup and view all the answers

    Which of the following factors is NOT listed as a risk factor for shoulder pain after spinal cord injury (SCI)?

    <p>Lack of wheelchair training</p> Signup and view all the answers

    What is mentioned as a significant impact of shoulder pain in SCI patients?

    <p>Decreased muscle flexibility</p> Signup and view all the answers

    What type of propulsion technique is recommended in the context of the text?

    <p>Arc or single loop technique</p> Signup and view all the answers

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