University:
Swansea University
Course:
PM-139 | Human Physiology 1
Academic year:

2023
Views:

420

Pages:

2
Author:

Amal J.

Medical management: 1) → IV methylprednisolone within 8hrs to decrease cord edema it improves both motor & sensory functional outcomes in complete & incomplete injuries → benefit dependent on dose & timing of dose 2) to control or to prevent complications of SCI & immobility → vasopressors to maintain perfusion → histamine H2 blockers to prevent stress ulcers → anticoagulants → stool softeners → antispasmodics 3) surgical management: → stabilization/ immobilization by: a) traction b) Gardner-Wells tongs c) Halo d) casts e) splints f) collars g) braces Surgery for SCI: → manipulation for correct dislocation or unlock vertebrae → decompression [laminectomy] → spinal fusion → wiring or rods to hold vertebrae together PT - Management: 1) breathing exercises 2) range of motion & positioning splints 3) strengthening of selective muscles 4) MAT activities 5) skin inspection 6) wheelchair skills 7) gait training