Misc. for midterm

Question 1

an injury at what level results in a flaccid/areflexive bladder?

Answer 1

below T12

Question 2

does voluntary urination occur with a flaccid bladder?

Answer 2

no

Question 3

how does urination occur with a flaccid bladder?

Answer 3

through supra pubic pressure or cathetorization

Question 4

an injury at what level results in a spastic bladder?

Answer 4

any injury above T12

Question 5

• involuntary loss of urine with local stress/pressure
• hypermobility and displacement of urethra during exertion
• weakness pelvis floor mm

Answer 5

stress incontinence

Question 6

• involuntary loss of urine associated with strong desire to void
• often involuntary and hyper reflexive detrusor

Answer 6

urge incontinence

Question 7

• involuntary loss of urine when intra vesicular pressure exceeds maximal urethral pressure, absence of detrusor activity
• bladder distension with absence of absence of detrusor mm activity

Answer 7

overflow incontinence

Question 8

• coordinated activity between the detrusor muscle and the external sphincter may be affected
• lesions that affect the micturition center in the brainstem or impair communication with center
• instead of relaxing during micturition, the external sphincter becomes more constricted which can lead to increasing pressure and back up into the kidneys

Answer 8

detrusor sphincter dyssynergy

Question 9

what occurs to the bladder initially following a SCI?

Answer 9

• all reflexes are depressed including micturition due to spinal shock
• bladder is atonic and cannot contract

Question 10

how long does the period of spinal shock/atonic bladder last?

Answer 10

1-2 months

Question 11

breathing strongly out of mouth while holding your nose closed

Answer 11

vasalva’s maneuver

Question 12

name the 4 types of program evaluation.

Answer 12

• formative
• process
• impact
• outcomes

Question 13

• used when programs are in newly developed stages
• when determining what programs need to be used - for programs before broader use (such as in other departments or parts of a system)

Answer 13

formative program evals.

Question 14

• for operation of program components - does it work as designed?
• this is for currently running programs to determine whether they work and how they were designed to work

Answer 14

process program evals.

Question 15

• measures effectiveness of program
• may be used to determine whether stroke rehab program really helps people be more independent from the time they are admitted in hospital to the time they are discharged

Answer 15

impact program evals.

Question 16

-short and long-term results of program

Answer 16

outcomes program evals.

Question 17

where the power comes from for the chair

Answer 17

drive location

Question 18

___ ___ is related to how powerful the chair is and where the power wheel lies in relation to the person/seat.

Answer 18

drive location

Question 19

• good for slippery services and obstacles

- overkill for indoors or in tight spaces - will rip up carpet over time

Answer 19

front wheel powered w/c

Question 20

• has casters in the front and in the back
• the power/main wheel lies where the center of the person typically is
• great compromise

Answer 20

mid wheel powered w/c

Question 21

• where the motor attaches to the wheels and where the turning occurs
• works good for flat or even terrain
• not good for slick surfaces or rough terrain

Answer 21

rear wheel powered w/c

Question 22

t/f - there are brakes on powerchairs.

Answer 22

false - you let go of acceleration and it slows down

Question 23

how we have done rolls with pts. who are hemiparetic

Answer 23

segmental roll

Question 24

roll that usually requires 2 or more people

Answer 24

log roll

Question 25

the moment you pt your hands on a patient, it becomes __ __.

Answer 25

min A

Question 26

the moment you need 2+ people to transfer, it becomes __ __.

Answer 26

max A

Question 27

you can get a stage 1 ulcer in how many minutes?

Answer 27

15 minutes

Question 28

an open wound ulcer equals which stage?

Answer 28

stage 2

Question 29

what does the inner cannula attach to?

Answer 29

the ventilator

Question 30

erection becomes ____ after SCI.

Answer 30

reflexive

Question 31

tetraplegia involves impairment or loss of motor and sensory function in the ____ segments of the spinal cord.

Answer 31

cervical

Question 32

paraplegia involves impairment or loss of motor and/or sensory function in which segments of the spinal cord?

Answer 32

-thoracic, lumbar, or sacral

Question 33

where does heterotopic ossification occur most often?

Answer 33

hip joint

Question 34

FIM is not meant to be used as an ___.

Answer 34

eval

Question 35

what is someone's score on the FIM if they use AT or adaptive equipment?

Answer 35

6

Question 36

what is someone's score on the FIM if they are fully independent?

Answer 36

7

Question 37

where do we measure pelvic obliquity from?

Answer 37

measure from ASIS (not iliac spine!)

Question 38

why do we do a supine position assessment for w/c selection?

Answer 38

to assess the actual potential to achieve optimal seated position

Question 39

why do we perform a seated position assessment for w/c selection?

Answer 39

to see what happens when you add gravity

Question 40

___ ___ usually goes hand in hand with posterior pelvic tilt?

Answer 40

lumbar flexion

Question 41

if the lower and upper thighs are not aligned in a seated position, it indicates what?

Answer 41

IR/ER at the hip

Question 42

if ___ ___ is a fixed deformity, you will need to get a foot rest that accommodates that.

Answer 42

plantar flexion

Question 43

the lower the backrest, the ___ the trunk control the person has.

Answer 43

stronger

Question 44

around what age is when you could start thinking about getting a powered mobility chair for a child?

Answer 44

2 y/o

Question 45

what is the only flexibility aspect of a low end (k0003) w/c?

Answer 45

arm rests

Question 46

what does recline alter?

Answer 46

only the back rest angle of the trunk to the thigh changes

Question 47

how must the pelvis be in order to recline?

Answer 47

posterior pelvic tilt

Question 48

what moves in a tilt in space position?

Answer 48

seat and back rest both move in that position

Question 49

name 2 benefits of tilt in space.

Answer 49

- keeps pt. in their optimal position. | - better for pressure relief than recline

Question 50

if someone has low tone how should their w/c cushion be?

Answer 50

should have more contour

Question 51

if someone has high tone how should their w/c cushion be?

Answer 51

don't need as much of a contour

Question 52

softness of a cushion provides less ___ ___.

Answer 52

postural control

Question 53

side that they curve to

Answer 53

concave side

Question 54

on the concave side (lateral supports), you want to support ___ the point of impact.

Answer 54

above

Question 55

on the convex side (lateral supports), you want to support ___ the point of impact.

Answer 55

below

Question 56

a fish scale is only used for what?

Answer 56

pull doors