Patient is a 24 year old male who injured his spine in a car…

Patient is a 24 year old male who injured his spine in a car accident.  His car flipped several times and he was ejected from the vehicle, resulting in a T4 spinal cord injury.  He has full functional strength of his upper extremities.  Complete paraplegia is noted in the lower extremities.  The patient is presently on a bowel program with the nursing staff supervising.  The primary methodology of bowel training for this patient is use of   ________________________   .

Patient is a 26 year old male who sustained a cervical spine…

Patient is a 26 year old male who sustained a cervical spine dislocation during a motorcycle accident.  The patient presents with an incomplete lesion at C5 and is currently 2 weeks post injury.  The patient is using the Minerva cervical orthosis for immobilization.  The patient is being discharged from the acute care hospital in one week. Which range of motion activity would be contraindicated for this patient at this time?

A patient is working with a robotic intervention to increase…

A patient is working with a robotic intervention to increase upper extremity strength following a stroke.  The patient is playing a video game that he enjoys while using the robot to assist with movement.  The robotic device will detect when the patient is improving in his strength and it will adjust to decrease the amount of assistance provided for arm movement.  Video gaming is being used for what purpose in this scenario, keeping neuroplasticity as a framework?   

A physical therapist is treating a patient who was diagnosed…

A physical therapist is treating a patient who was diagnosed with ALS 6 months ago.  During conversation the patient demonstrates nasal tone in their voice and the patient reports having difficulty eating secondary to choking.  His nutritional status has suffered and he is losing weight.  The patient also demonstrates right lower extremity weakness.  His manual muscle test indicated the following:   hip 3+/5, knee 3+/5 and ankle 2+/5.  Patient reports tripping often and increased fatigue with walking within the community. As part of the initial examination, a physical therapist is checking the patient’s cranial nerves.  Which activity would assess the integrity of Cranial Nerve XI?

Patient is a 24 year old male who injured his spine in a car…

Patient is a 24 year old male who injured his spine in a car accident.  His car flipped several times and he was ejected from the vehicle, resulting in a T4 spinal cord injury.  He has full functional strength of his upper extremities.  Complete paraplegia is noted in the lower extremities.  When sitting in a properly fitted wheelchair, which area would be most at risk for skin breakdown?