Hi, I have worked with Quads and with Bilateral hemis. their treatment for the most part is very different. The Bilateral hemi has cognitive and perceptual motor problems that are not usually seen by a quad unless there was a closed head injury involved, A Quad does not have the cognitve deficiets that a neurological hemi has. Both need attention for positioning, contracture prevention, muscle facilitation and inhibition to control tone, more so in the hemi most often. A hemi's progress can really be inhibited by the above cognitive problems and perceptual problems as far as safety and judgement, they might be able to walk, but not see anything to the left, impulsively put themselves in danger and cannot be trusted with meals, money or medication. Quads without a head injury are much more reliable with those things but need outside assistance for accomplishing those tasks, ie adaptive equipment or care aides. Hope this helps .Wanda OTR/L ----- Original Message ----- From: "sheila" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, November 19, 2001 7:05 PM Subject: Re: OT and Acute Care
> Hi. I just wanted to comment on this post. As Ron > eluded to in his response to your original post, the > therapy program for a bilateral hemiplegic and a > quadraplegic (or tetraplegic as I think it is now > refered to - correct me if I am wrong someone, since I > do not work with SCIs) Anyway, the therapy programs > will differ based on the individual not based on the > the injury. I do remember from school, however, that > umn result in more spastic muscles, while lmn result > in flaccid muscle tone. > Sheila > > --- Urvi Dharia <[EMAIL PROTECTED]> wrote: > > hi ron. > > > > i am a student and would just like to know the > > difference in therapy > > programme for a bilateral hemiplegic and a > > quadriplegic. > > since the former is a umn disease and the latter a > > lmn disease. > > > > thank you. > > > > > > > > > _________________________________________________________________ > > Get your FREE download of MSN Explorer at > > http://explorer.msn.com/intl.asp > > > > *********��*********** > > > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > > > In the message's *body*, put the following text: > > > > unsubscribe OTlist > > > > List messages are archived at: > > > > http://www.mail-archive.com/[email protected] > > > > *********��*********** > > > > > __________________________________________________ > Do You Yahoo!? > Find the one for you at Yahoo! Personals > http://personals.yahoo.com > > *********��*********** > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > In the message's *body*, put the following text: > > unsubscribe OTlist > > List messages are archived at: > > http://www.mail-archive.com/[email protected] > > *********��*********** > *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
