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Contents
📝 Chapter 1: Introduction ............................................................................. 3
📝 Chapter 2: Spinal Cord Injuries ................................................................ 13
📝 Chapter 3: Medical and Surgical Management ....................................... 26
📝 Chapter 4: Psychosocial Issues ................................................................ 39
📝 Chapter 5: Skin Care ............................................................................... 51
📝 Chapter 6: Respiratory Management ...................................................... 63
📝 Chapter 7: Physical Therapy Examination, Evaluation, and Goal Setting . 70
📝 Chapter 8: Strategies for Functional Rehabilitation ................................ 83
📝 Chapter 9: Functional Mat Skills.............................................................. 96
📝 Chapter 10: Transfer Skills .................................................................... 107
📝 Chapter 11: Wheelchair Skills ............................................................... 115
📝 Chapter 12: Ambulation........................................................................ 124
📝 Chapter 13: Sexuality and Sexual Functioning....................................... 132
📝 Chapter 14: Bladder and Bowel Management ...................................... 145
📝 Chapter 15: Architectural Adaptation ................................................... 159
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📝 Chapter 1: Introduction
1. Which of the following best describes the primary goal of
rehabilitation for individuals with spinal cord injury (SCI)?
o A) To cure the injury
o B) To maximize independence and quality of life
o C) To eliminate secondary complications
o D) To provide long-term care
✅ Correct Answer: B) To maximize independence and quality of life
Rationale: The primary goal of SCI rehabilitation is to help individuals
achieve the highest level of independence and improve their quality of
life, rather than focusing on curing the injury or providing long-term
care.
2. What is the most significant challenge in functional rehabilitation
for individuals with SCI?
o A) Managing pain
o B) Overcoming psychological barriers
o C) Rehabilitating motor function
o D) Addressing social isolation
✅ Correct Answer: B) Overcoming psychological barriers
Rationale: Psychological factors, such as depression, anxiety, and
adjustment to the disability, often represent the most significant
challenge in SCI rehabilitation. Addressing these psychological barriers
is critical for effective rehabilitation.
3. Which aspect of spinal cord injury rehabilitation focuses on
improving self-care abilities and functional independence?
o A) Psychosocial support
o B) Physical therapy
o C) Vocational rehabilitation
o D) Functional training
✅ Correct Answer: D) Functional training
Rationale: Functional training is specifically designed to enhance an
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individual's ability to perform self-care tasks and function
independently in daily life, which is central to SCI rehabilitation.
4. Why is early intervention crucial in the rehabilitation of spinal
cord injury patients?
o A) To prevent complete paralysis
o B) To reduce the risk of secondary complications and improve
long-term outcomes
o C) To restore lost sensation
o D) To shorten hospital stays
✅ Correct Answer: B) To reduce the risk of secondary complications
and improve long-term outcomes
Rationale: Early intervention helps reduce complications such as
pressure ulcers, respiratory infections, and muscle atrophy, leading to
better long-term functional outcomes.
5. Which is considered a key component of the comprehensive
rehabilitation team for individuals with SCI?
o A) Occupational therapist
o B) Neurosurgeon
o C) Neurologist
o D) All of the above
✅ Correct Answer: D) All of the above
Rationale: A comprehensive SCI rehabilitation team includes various
healthcare professionals, including occupational therapists,
neurosurgeons, neurologists, physical therapists, and psychologists, to
address all aspects of the injury and rehabilitation.
6. What does the term "functional rehabilitation" refer to in the
context of SCI?
o A) Restoration of sensation
o B) Focus on compensatory strategies for daily activities
o C) Treatment aimed at curing the injury
o D) Focus on improving the appearance of the body
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