Top Tweets for #PT546Week4
Age, neurologic level of injury, Cardiopulmonary status, injury completeness, & pain/spasticity are predictive factors for recovery in pts w/ SCI. Despite these factors, it’s our role as PTs to always provide hope and strive for the “impossible”.🌟#PT546week4 @juliehershberg
Are you treating a patient with a SCI? Don't be a negative nancy! Encourage your patient to remember that 1% of patients with SCI's are able to walk again and they could be part of that 1%! #bethe1percent #PT546week4 @juliehershberg @manjiridahdul
Signs of autonomic dysreflexia:
-SCI level T6&above (sometimes T7-T8)
-Sweating
-Cold/clammy, blotchy red skin
-Goosebumps
-Headache, nausea
-HTN: critically high
🚨CALL 911 AND KEEP PT SITTING UPRIGHT!🚑 &remove noxious stimulus-> cath, etc
#PT546week4
#PT546week4 Never say never in recovery from spinal cord injury! #StandforEden
https://t.co/BKhUZJY0jk
@juliehershberg @manjiridahdul marked decreases in heart rate, spikes in BP, sweating, flushing, piloerection and headaches are autonomic signs and symptoms in spinal cord injury #stateofemergency #knowthesigns #pt546week4
SCI at vertebral level T11, BUT at what *neurological level* is the injury? Depending on sensory and motor impairments, there could be up to 1-2-3-FOUR neurological levels involved. Dang. @juliehershberg @manjiridahdul #pt546week4
Up to 25% of SCIs occur after the initial traumatic event due to inappropriate transport ➡️poor prognosis
Improving patient QoL STARTS with transport. #EMT #AT #PT
@manjiridahdul #PT546week4
SCI mgmt:tally up # for sensory & motor, L5-S4, Asia score A - E, recognize autonomic disreflexia, answer tough questions of walking again: factors include age, extent of injury, cardiopulm status. But never say never, always give hope! #pt546week4 @manjiridahdul @juliehershberg
Did you know?—The most common cause of traumatic spinal cord injuries are motor vehicle accidents!😧...Drive safe out there!! 🚗🚙🚛🚑🏎
#PT546week4 #neuropathology @manjiridahdul
Pounding headache? 🤕 High blood pressure > 200/10? 👩🏻⚕️ Excessive sweating? 💦 Flushed face? 😳 Nausea? 🤢 Nasal congestion? 🤧 These could be signs of autonomic dysreflexia, a serious medical condition! Don’t wait, call 911 immediately 🚑🚨😷 #pt546week4 @manjiridahdul
A pt w/ SCI at a certain level may not present with symptoms correlated with that level. Check for inflammation. It can spread rostral or caudal and symptoms may correlate to where the inflammation is affecting the spinal cord. #pt546week4 @juliehershberg @manjiridahdul
It's so great learning about ASIA. It's fun, informative, and not confusing. I'm talking about the continent. Not the neurological classification scale.
Sensory: look for 2s
Motor: look for >3/5 and 5/5
#pt546week4 @juliehershberg @manjiridahdul
#PT546week4 @juliehershberg @manjiridahdul Along w/ physical rehab, remember to instill motivation & hope to improve self-confidence to patients w/ SCI & their family. “Without the support of my family and friends— would have “no drive to live” and little future." Duggan et al
#pt546week4 ⬇️ inflammation in the microenvironment of a SCI has the potential to improve recovery for a patient. Inflammation can occur 10 segments away from the location of injury! Give your patient hope and let them know they can be the 1%! @juliehershberg @manjiridahdul
SC injury can be CNS or PNS 🤔. Knowledge of anatomy is essential to fully understanding your patients’ presentation. MRI ✅, #1 diagnostic test for extent of injury. When discussing recovery it’s important to be hopefully realistic. #PT546week4 @juliehershberg @manjiridahdul
Flushed face? Clammy skin? Red blotches? Goose pimples? How about pounding headaches? Valentine's day may be coming up but no no no these are actually signs of autonomic dysreflexia! #notjustanacneproblem #PT546week4 @juliehershberg @manjiridahdul
Worsening LBP❓Pain when lifting and packing 📦 Symptoms not reproducible 🤯 Look deeper 👁 L5-S1 myotomal and dermatomal patterns 🚺 weakness 👇🏽 atrophy 💪🏻 History of Spina Bifida 👶🏻 = Tethered Spinal Cord ⚠️ @juliehershberg @manjiridahdul #pt546week4
Spinal cord injury signs and symptoms vary based on level of damage and mechanism of injury. Many factors contribute to prognosis and recovery, #ChoosePT to maximize your function. Awesome organizations like @LifeRollsOn can even get you surfing!
#pt546week4 @manjiridahdul
Therex, strengthening, and modalities aside, the best thing you can do for a patient with a spinal cord injury is BELIEVE IN THEM. A little motivation and TLC can go a long way in helping our patients start moving again!
#pt546week4 @juliehershberg @manjiridahdul
@juliehershberg @manjiridahdul h/o back pain + progressive, asymmetric motor/sensory loss distal>prox in dermatomal pattern. LBP + radiating sxs, right? Consider this curveball: Spina Bifida & tethered cord release in PMH! MRI shows presence of secondary tethered cord #PT546week4
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