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Occupational Therapy’s Role In Bowel And Bladder Management For Individuals With Spinal Cord Injury

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1.  How does an upper motor neuron (UMN) lesion affect the bladder? Urine storage dysfunction Detrusor muscle and urethral sphincter hyperreflexia (spasticity) Incontinence All of the above

2.  Which of the following bladder issues do you see in a lower motor neuron lesion (LMN) deficit? Voiding reflex intact Detrusor muscle flaccid Bladder decreased volume Detrusor muscle hyperreflexia

3.  What is the best practice for preventing UTIs? Indwelling urethral catheter (IUC) Clean intermittent catheterization (CIC) Suprapubic catheters (SPC) None of the above

4.  What is the OTP's role in bladder management for those with an SCI? Only work on UE strengthening Teach adaptive techniques, create assistive devices or develop alternative methods, and improve UE strengthening Prescribe medication None of the above

5.  For someone who does not have full hand function, what piece of equipment may help them with a bowel movement? Cuffed suppository inserter Free standing mirror Cuffed digital stimulator All of the above