Based on the chart review of a new SCI patient, the initial evaluation indicates that they have bilateral lower extremity spasticity, patellar and achilles tendon hyperreflexia, a positive Babinski, clonus, and no voluntary movements or sensation below the level of injury. The signs are characteristic of a/an…
Read DetailsYou are preparing for treatment of a patient with a head injury who can be quite difficult to manage, particularly in some of the more complex tasks. However, he is responding well to charts and graphs in his memory book that help him to recall what he is doing in therapy. His behavior is much improved, he is starting to tolerate the therapy gym, and he is now able to complete simple tasks such as brushing his teeth and hair. This is most characteristic of someone receiving intervention based on which of these Rancho Los Amigos Levels of Cognitive Functioning?
Read DetailsA patient preparing for discharge has achieved fully independent ADLs including bathing with a hand-held shower nozzle and dressing with a button hook. Initially elbow and finger extension were weak, grade 3+, but have significantly improved due to strength training of the triceps and extrinsic finger extensors. The patient’s family is expected to arrive this afternoon with his modified low-rider truck so that he can drive himself to an accessible apartment. He has achieved his goal of independently loading his manual chair with removable friction surface rimmed wheels. He will continue with OP intervention as he is not yet fully independent with his bowel and bladder program and requires adaptive equipment. This patient is most likely classified at what level of injury?
Read DetailsFollowing a rear-end collision a patient sustained a cervical SCI. While working with this patient, your treatment focus is primarily on the upper extremities since they show greater involvement than the lower extremities. Generally speaking, sensory testing was normal. This is consistent with which of these syndromes?
Read Details