SCI Functional Prognosis Quiz
28 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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

    More Like This

    Spinal Cord Injury Epidemiology
    14 questions
    Understanding Quadriplegia Prognosis
    5 questions
    OT Exam Prep: Spinal Cord Injury Flashcards
    10 questions
    Spinal Cord Injury Assessment Quiz
    17 questions
    Use Quizgecko on...
    Browser
    Browser