The next two questions pertain to this case example: Your patient, Lonnie, is a 29 y/o male (he/him) who sustained a C7 AIS A SCI in a boating accident.  He has made friends with another patient on the rehab unit, Sam, a 25 y/o male (he/him) who sustained a C5 AIS A SCI in a car accident.  Describe 1) what the head-hips relationship is and 2) how you would use it in Lonnie’s treatment sessions (2 points):

Kalima is a 26 y/o female (she/her) who was admitted to ICU where you work from the ER. She sustained a closed head injury yesterday when her dog accidentally tripped her as she was walking down outdoor concrete stairs. Your interdisciplinary team is going over her case, and nursing reports that Kalima’s vitals have been stable and she is engaging with staff appropriately.  They are wondering if it would be appropriate for PT to see her or if it’s too soon. Based on the research about early mobilization for people with TBI, which statement is most appropriate? 

Joe (he/him) presents with a sudden onset of vertigo & nausea yesterday when he got out of bed. The results of your positional testing are as follows: Roll Test (-) bilateral, R Dix-Hallpike no nystagmus but a few seconds of mild dizziness, L Dix-Hallpike showed robust L torsional upbeating nystagmus with a latency of 13 seconds & duration of 48 seconds, with Joe becoming very vertiginous & nauseous. What is your diagnosis?

What is your top activity based functional outcome measure you would assess with Lana and why? (1 point)

Anat says that she had a scan done of her head yesterday and that it was negative. She does not understand why she is still having problems. Explain the pathophysiology of a concussion to Anat, avoiding medical terminology/jargon. (1 point)

Mrs. D has had a stroke and is working on her arm and hand function.  Her main goals are to get back to work and to resume playing cribbage with her husband.  She works in a factory sorting small bolts and screws into containers as they go by on a conveyor belt.  Which assessment would be the best choice to help you determine if she is making functional progress towards returning to work?

Smith et al. 2022 used imaging of two tracts after spinal cord injury to determine if the amount of tissue sparing of those tracts would predict sensory and motor outcomes. What did they find? 

The next section of the course solely focuses on hiring employees. What are you most looking forward to learning about next?

The recommendations in the Concussion CPG by Quatman-Yates et al. (2020):

Marjorie is a 43-year-old woman who has recently been diagnosed with multiple sclerosis. She is an active volunteer within the community and also part of a speed walking group. During your PT evaluation, she wants to know whether she will continue to be able to walk in the future. What do you tell her?