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What does early standing help?
preserve body image, spatial relationships, promotes early restoration of physical function
What are indications for the tilt table?
- pts requiring reconditioning, those to tend to develop orthostatic hypotension (ex. prolonged bed rest)
- pts requiring security while developing tolerance to an upright position
- severely involved pts that are assuming an initial upright position (quads, paraplegics, MT)
- pts requiring heel cord stretching
What are contraindications for the tilt table?
- NWB status on bilateral LEs
- DVT of LEs
After what degree of standing should you remove the pillow?
What are some signs of intolerance?
- loss of consciousness
- excessive increase in pulse
- excessive decrease in BP
- facial pallor
- excessive perspiration
- complaints of nausea, dizziness, or sensory changes in LEs
What is another name for orthostatic hypotension?
What is another name for autonomic hyperreflexia?
What is orthostatic hypotension?
hypotension occuring when a person assumes an upright position from a supine position
What is autonomic hyperreflexia?
condition seen in pts with injury to upper spinal cord. massive sympathetic discharge of stimuli from ANS. may be triggered by full bladder or colon or other problems
What are symptoms of autonomic hyperreflexia?
- sudden hypertension
- severe headache
- goosebumps (piloerection)