28 Questions
What is the primary purpose of the recovery phase in wheelchair propulsion technique?
To prepare the arm for the next initial contact
Which factor leads to increased demand on shoulder flexors during wheelchair propulsion?
More post initial contact on hand rim
What is the impact of higher shoulder forces and joint compression during wheelchair propulsion?
Increased muscle activity
Which wheelchair propulsion technique allows for the hand to drop below the level of the top of the wheel during the recovery period?
Semi-circular
In wheelchair mobility, what type of injuries are particularly associated with rotator cuff injuries?
Shoulder flexor injuries
What is one of the benefits of using the double loop wheelchair propulsion technique?
Lower braking movements
What is the recommended elbow flexion angle when resting on the wheel according to the clinical practice guidelines for wheelchair propulsion?
100-120 degrees
Which tendon is most commonly compressed due to the highest compression forces during wheelchair propulsion?
Supraspinatus tendon
What is the key recommendation to avoid shoulder pain during wheelchair propulsion according to the Paralyzed Veterans of America 2005 guidelines?
Minimize frequency and force required in repetitive movements
Which component is emphasized as crucial in a manual wheelchair customized for high-risk patients in the clinical practice guidelines for wheelchair propulsion?
Lightweight, high-strength materials
What was added to the recommendations by Sawatsky in 2015 regarding wheelchair propulsion?
Inclusion of propulsion technique guidelines
What is a key recommendation for sitting pivot transfers according to Gagnon's clinical practice guidelines?
Leading hand should minimize shoulder impingement.
Why is standing rehabilitation beneficial according to the text?
To increase bone mineral density.
What makes transfers to a car particularly demanding?
The significant gap between the wheelchair and car seat.
What is a recommended frequency for pressure relief from sitting for therapeutic benefits?
5 times a week for 30 minutes.
What physiological benefit does locomotor training aim to achieve?
Normalize joint integrity.
Why should a painful shoulder be used as the leading arm during transfers, according to the text?
It minimizes shoulder pain during transfers.
What are the significant predictors of outcome in terms of Asia motor scores and AIS classifications?
Neurological level, surgical timing, and pattern of injury
What is the impact of the use of methylprednisolone on recovery following a spinal cord injury?
No impact on recovery outcomes
What is the conversion rate from AIS A to higher levels after a year of injury?
15%
Which group of patients shows increased rates of conversion from complete to incomplete motor injuries?
Patients with cervical level injuries
What is a key indicator for functional ambulation according to van Middendorp (2011)?
Strength and sensation to light touch in L3 or quadriceps
What percentage of complete tetraplegic patients are able to recover greater than 3/5 strength by at least a year post-injury?
65%
What is the recommended velocity for wheelchair propulsion to aim for, similar to gait for community function?
1.06 meters per second
What is the recommended contact angle for wheelchair propulsion based on the text?
85 to 100 degrees
Which of the following factors is NOT listed as a risk factor for shoulder pain after spinal cord injury (SCI)?
Lack of wheelchair training
What is mentioned as a significant impact of shoulder pain in SCI patients?
Decreased muscle flexibility
What type of propulsion technique is recommended in the context of the text?
Arc or single loop technique
Test your knowledge on spinal cord injury (SCI) functional prognosis factors such as ASIA motor scores, neurological level, and AIS classifications. Explore significant predictors of outcome and factors affecting functional recovery.
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