ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
What should care be centered around for pediatrics with SCI?
developmentally based with an emphasis on a family centered approach to patient care
T/F: adolescents may not identify with traditional pediatric model of care but are also not often
appropriate for an adult rehab center
true - adolescents have their own unit in an adult facility
What is the goal for those with pediatric SCI?
maximize function and independence and to prepare them for a successful transition to adulthood while
being developmentally appropriate
What is the epidemiology for pediatric SCI?
3-5% of new SCI are in individuals younger than 15
males > females (adolescents)
under age 3, gender is =
acquired, non traumatic @ birth
What are 2 pathologies that can lead to acquired SCI?
, spina bifida
down syndrome
T/F: juvenile RA can lead to spinal stenosis, which could lead to a SCI
true
What type of SCI is most common in the pediatric population?
C1-C3 injuries leading to tetraplegia
What type of SCI is most common in the adolescent population?
C4-C8 injuries leading to tetraplegia
Why do the pediatric/adolescent population typically have higher cervical injuries?
disproportionately large head & underdeveloped neck musculature
What is the most common cause of pediatric SCI?
MVA secondary to seat belt or car seat injuries
violence, sports
T/F: ISCSCI motor and sensory scores are unreliable until at least age 5
true
If the ISCSCI (AISA Scale?) is unreliable for children under the age of 5, how do we conduct an
assessment?
through observation & a functional assessment
Who should we ask about patient QOL?