Question

Assessment (A):

Young, obese, tetraplegic male

Weakness from complete C7 tetraplegia

Posture is kyphotic with rounded shoulders and forward head

Deconditioning

Hyperreflexia

Marked spasticity in lower extremity flexor muscle groups

Neuropathic pain

Rotator cuff tendonitis

Heterotopic ossification (right hip)

8. Why is Ted experiencing hyperreflexia and spasticity? Is the hyperreflexia and spasticity Ted experiences related to upper motor neuron syndrome or lower motor neuron syndrome?

9. What is the most likely cause of Ted’s rotator cuff tendonitis? What recommendations might you suggest to Ted in order to relieve his rotator cuff pain/inflammation? How would you address this issue in the exercise plan?

10. What is heterotopic ossification? What type of exercises would you prescribe for Ted in order to preserve movement in his right hip?

Answer 1

8. hyperreflexia and spasticity is the main symptoms of upper motor neuron syndrome

9. rotator cuff tendonitis is mainly caused in Ted due to his kyphotic posture with rounded shoulder and forward head. the main recommendation is

1. to avoid activities that cause pain
2. maintain flexibility and strength of the muscle in that area
3. cold packs can be given
4. anti inflammatory drugs

10.heterotopic ossification is the abnormal growth of bone in the soft tissue region where the bone shouldnot grow

ROM and strengthening exercise can imrpove in heterotopic ossification