Spinal Cord Injuries and Massage Therapy by Julie Ottis – Flashcards

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Courage Center (only 5 in the country and one is in MN)
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Spinal cord injury, ms, ache and pain. Will be the larger facility in the US for spinal injury (The center received a 2million grant 2015)
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TRP
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Facility for people coming from an injury where they learn rehab, wheel chairs,
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Julie Otis
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former secondary teacher, massage therapist, BS, AS, AAS, NCTM. [email protected]
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Spinal Cord Injury Statistic
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10,000-120000 SCI every year with SCI, 80% of injuries occur to men, lefe expectancy of a 20 year old man with C1-C4 injury is 20 years. 5 % are children. Christopher Read after his injuries received massage Therapy every day. He died of an infection but he was regaining strength in his legs and was starting to walk again with a walker.
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ABLE
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Program started by the Christopher and Dana Reed Foundation. Activity Based Locomotive E. Rejuvenate and reconnect the muscles with the brain
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What is Spinal Injury
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Injury is damage to some
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Causes as identified by the NIH
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36.5% car accidents, 28.5% falls, 14.6% violence, 9.2% sporting (gymnastics, diving into shallow water, football), 11.2% MS
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Five categories of SCI
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Concussion, contusion, compression, laceration, transection (spinal cord is severed)
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Terms used
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Paraplegia, Tetraplegia (new term for quadriplegia)
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Difference between Paraplegia and Tetraplegia
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Between C8 and T1. Higher it goes the more the person is affected
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Jack Jablonski story (16 years old in 2012)
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video
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Complications
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DVT, pulmonary embolism, respiratory infection, UTI, autonomic hyperreflexia, cardiovascular disease, numbness, pain, spasticity
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Massage and its effects for SCI
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increase ROM, blood circulation, decrease depression and anxiety, decrease stress hormones (cortisol and norepenenphrine), decrease serotonin levels in adults, increase wrist extension
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Massage considerations for SCI
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talk to your client, your client knows his/her condition and will be able to answer all your questions. Your client knows anatomy and muscles and their level of injury. Identify whether your client is able to transfer on and off the massage table. If not, is cl accompanied by a PCA who can transfer client? Does Client prefer to stay in their chair? Use pillows on client's lap for support to massage LB, determine how you will address muscles behind the headrest, undressing/dressing/adjusting chair.
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Above all
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Respect your client. you will not be able to change their injury. Address their concerns whether it is relaxation or specific muscle work. The client will let you know where and if there need some adjustment.
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