Spinal Cord Injury
Watch the trailer and learn about this course
Why take this course?
This instructor has a great deal of passion in the area of Spinal Cord Injury. She has treated children as young as 18 months old, if not younger, as well as elderly patients, with spinal cord injuries. In all stages of life, and no matter what the age, all of these patients have the desire to mobilize themselves and restore their quality of life.
In the younger population she has a greater degree of passion because they’re growing in their disability. If they are not brought to a place where they can be more mobile and more independent, or at least be motivated to self–initiate some of their movement, there’s a tendency toward helplessness in these patients which will lead to them becoming unproductive citizens.
Also, the life expectancy after spinal cord injury is now near normal. Living with a disability and trying to get beyond it, especially with the new research, has become a huge passion. The instructor goal is to keep the body sound, to treat the paralyzed body, and not just put these patients in a wheelchair and have them go off and live lives that may not have reached their potential.
Details about this Online Continuing Education Course
This film details key handling skills and ideas for spinal cord injury rehabilitation. The treatment of an infant or child with spinal cord injury is heterogeneous with some exceptions within each age group. Most teen spinal cord injuries occur during motor vehicle accidents or are sports related injuries. Many of the infant and child injuries have been linked to lack of or inadequate restraints when traveling in a motor vehicle.
This Spinal Cord Injury course is designed to demonstrate strategies for managing and rehabilitating the patient with this particular type of paralysis. The patients demonstrating their skills in the film segments are teenagers. They are obviously able to understand and contribute to their rehabilitation process. The younger the patient however, requires creative play and increased attention to observation and palpation skills to assess and address their abilities and deficits toward a positive outcome.
The next segment features the story of 18 year old Bonique who suffered a T11 spinal cord injury. The subsequent segment features the story of 19 year old Rubi who suffered a transection of C6-7. Both were involved in motor vehicle accidents. They were both unrestrained and thrown from the vehicle. They were injured a week apart in the same year. They met in the acute care setting and continued their friendship in the inpatient rehab center. They continue to attend outpatient therapy addressing their progressions as they both continue to make objective and measurable gains.
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- CE Hours: 13.0 hrs
- Delivered: Online
- Instant Online Access to Course Material for 365 days, Videos, Online Test and Printable Course Certificate with State Specific CEU approval
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Learn from the Expert Selina Morgan, PT, DPT
Selina Morgan, PT, DPT, graduated from Texas A & M University with a B.S. in health education in 1984, and the University of Texas Health Science Center in Dallas, School of Physical Therapy in 1986. She is actively involved in the physical rehabilitation of neurologically compromised patients with special interest in spinal cord injury and assistive technology. She has held offices in: The National Spinal Cord Injury Association-South Texas Chapter, the adhoc committee to improve handicap accessibility in San Antonio and the access planning committee of the Alamo Dome. Selina first gained teaching experience through her faculty position at the Texas Tech School of Physical Therapy in 1995. She continues to teach in areas of spinal cord injury, seating-mobility and assistive technology at the University of Texas Health and Science Center (schools of PT and OT) and the Army-Navy Baylor School of Physical Therapy at Fort Sam Houston. Selina has received credentials through RESNA as an assistive technology practitioner since 2003.
- Compare the differences between the ASIA motor exam and manual muscle testing.
- Identify the pitfalls of only using the ASIA exam for SCI evaluation.
- Understand the challenges of applying standardized manual muscle testing to the spinal cord injured patient.
- Identify incomplete spinal cord injury characteristics via deductive reasoning following a sensorimotor exam.
- Identify key components to the therapy evaluation including:
- a. Modified manual muscle test vs the ASIA assessment
- b. Sensory testing
- c. Functional skill elements and indications for treatment planning.
- d. Discuss goal setting and therapy techniques as they relate to various functional levels of injury.
- Observe and practice patient handling techniques in a lab setting including:
- a. Transfer training and progressions
- b. Bed mobility training and progressions
- c. Conventional model gait training and progressions
- d. Positioning for mechanical advantage to encourage optimal strengthening and facilitation
- Observe and understand of the basic manual wheelchair components and benefits for gravity assisted positioning for task performance.
A Paraplegic’s Story
- Here from an actual patient about her journey from trauma to life through therapy
- T11 Injury
- Quadriplegic screen
Performing Correct Transfers Part 1
- Dependent transfer with feet on floor
- Dependent transfer with full lift
- Infant transfer
- Infant collar, TLSO
- Quadriplegic Mobility, transfers with board
- Mat to mat
- Transfer to wheelchair with board
Performing Correct Transfers Part 2
- Paraplegic transfer with sliding board
- Transfer, pivot without sliding board
- Transfer, prone push
- Transfer, roll out
- Wheelchair transfer floor to chair
- Transfer, feet first
- Transfer from mat using knee to chest for bed mobility initiation
Quadriplegic mobility Part 1
- Quadriplegic mobility, long sitting
- Quadriplegic mobility, quadruped
- Prone on elbow shifting
- Quadriplegic mobility, long sit to prone
- Come to sit and the UE platform
- Long to short sit with leg management
- Bed mobility prone to supine
- Paraplegia, transfer to mat
Quadriplegic mobility Part 2
- Long leg braces and weight bearing
- Come to stand with forearm crutches
- Sit to stand and the standing position
- Prone push to stand
- Gait with rolling walker sit to stand
- Quadriplegic gait training
- Supine to long to short sitting
- Scooting hip head relationship
ASIA part 1
- ASIA A & B
- ASIA C & D
- ASIA E defined
- ASIA sensory exam, pin prick
- ASIA sensory exam, pin prick grading
- ASIA sensory exam, light touch
- ASIA, sensory exam S4-5
- Defining complete and ZPP
- ASIA functional motor level
- Sensory motor relationship
- ASIA C5, all grades
- ASIA C6, all grades
- ASIA C7, all grades
- ASIA C8, all grades
- ASIA T1
ASIA part 2
- ASIA T1 quadriplegic involvement
- ASIA test, gravity eliminated test position for the hip flexion testing
- ASIA L2, grades 0,1,2
- ASIA L2, grades 3,4,5
- ASIA L3, grades 0,1,2
- ASIA L3, grades 3,4,5
- ASIA L4 eliminated position, grades 0,1,2
- ASIA L4 grade 3
- ASIA L4, grades 4,5
- ASIA L5, all grades
- ASIA S1, grades 0,1,2
- ASIA S1, grade 3
- ASIA S1 plantar flexion, grades 4,5
- Interaction of muscle groups
- Introduction of the lower extremity powder board testing
- Powder board strength assessment of dorsi and plantar flexion
- Powder board, hip abduction
- Powder board, hip adduction
- Powder board with and without skate, hip flexion
- Powder board, skate, knee extension
- Powder board no skate, knee extension
- Powder board, hamstring exam, trace
- Fatigue in weak muscle groups
Wheel Chair Configurations
- Wheelchair selection and hip width
- Wheelchair configuration, frame dump
- Wheelchair patient measurements
- Achieving the best pelvic position in a wheelchair
- Frame dump measurements, pelvic position and arc over rail
- Wheelchair tire and caster options
- Wheelchair configuration, positioning and key measurements of the wheelchair
- Camber and overall width of wheelchair
- Wheelchair features and disassembly
Evaluate your understanding of the online continuing education course material
- Use the Healthclick proprietary online education system which provides the online student with:
- Worldwide access to high definition video, anatomical animations and images, and written information
- The highest quality film in the industry, you can see the difference!
- Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
- Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
- Evaluate your knowledge with the course test on any device.
- Print your state course certificate for CE credit.
- Take the online test as many times as need in order to achieve a 70 % or greater score.