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 (B)</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 (B)</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 (A)</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 (A)</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 (D)</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 (A)</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 (A)</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 (B)</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. (C)</p> Signup and view all the answers

Why is standing rehabilitation beneficial according to the text?

<p>To increase bone mineral density. (A)</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. (B)</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. (C)</p> Signup and view all the answers

What physiological benefit does locomotor training aim to achieve?

<p>Normalize joint integrity. (A)</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. (D)</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 (B)</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 (C)</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% (A)</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 (C)</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 (C)</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% (A)</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 (A)</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 (B)</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 (D)</p> Signup and view all the answers

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

<p>Decreased muscle flexibility (A)</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 (C)</p> Signup and view all the answers

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