1.2: Functional Mobility Training for Patients with Spinal Cord Injury
- Page ID
- 43656
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Key Points
- For as long as needed for preventing orthostatic hypotension, make sure the patient has the following donned, before moving to an upright position:
- Thigh-high compression stockings, such as TED ™ hose
- Elastic wraps, such as ACE ™ wraps over the stockings
- An abdominal binder will assist with blood pressure, but should be used for any patient without full abdominal innervation to assist with the length-tension relationship of the diaphragm. This will allow the patient to take a deeper breath.
- If you are planning to help the patient transfer to a chair, make sure you have a wheelchair with appropriate amount of support (for example, head support for a patient with high tetraplegia) and a pressure distributing cushion.
- For a patient who does not have full innervation of his hand, make sure you protect your patient’s tenodesis by never allowing wrist extension and finger extension
- If the hamstring range of motion (ROM) is not at least 90 degrees, be very careful not to have the patient assume positions in which his knees are extending in long sitting and his back is in a flexed position. This will provide an excessive stretch to the back extensors and compromise the passive stability of the trunk. Once bilateral hamstring (ROM) is at least at 90 degrees, then long sitting can be assumed with extended knees.
Transfer 1 Therapist Over Patient's Back
Transfer 2 Therapist Under Patient's Arm
Transfer 3 Therapist Using a Stool
Mobility 1 Independent Mat Mobility for Patient With C5 Spinal Cord Injury
Mobility 2 Mobility and Gait With Lower Extremity Orthodics