Though temporary, spinal shock may last for several weeks.
(7) If turning is allowed and patient is not on a turning frame or turning bed,
the patient must be carefully log-rolled with the spine maintained in alignment.
(8) Surgery, depending upon the injury and pathological findings, may have
to be performed to stabilize the spine before rehabilitation can begin.
Patient will require passive range of motion exercises.
(10) Assist with active rehabilitation procedures when patient is stable.
(a) Program is designed according to neurological deficit.
(b) Usually involves 6 weeks of gradual mobilization with brace or cast,
depending upon level of injury.
(11) Provide constant encouragement and psychological support to the
patient with a spinal cord injury.
Section IX. DISORDERS OF THE BRAIN
2-42. CEREBRAL VASCULAR ACCIDENT)
a. Definition. Cerebral vascular accident (CVA) (stroke) is the disruption of the
blood supply to the brain, resulting in neurological dysfunction.
b. Causes of Cerebral Vascular Accidents.
Thrombosis--blood clot within a blood vessel in the brain or neck.
Stenosis of an artery supplying the brain.
(4) Cerebral hemorrhage--rupture of a cerebral blood vessel with
c. Risk Factors Associated with Cerebral Vascular Accidents.
Previous transient ischemic attacks.
Cardiac disease (atherosclerosis, arrhythmias, valvular heart disease).