Review of Spinal cord Injuries & Treatment
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| Lumbar Level of Most Common SCI | show 🗑
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| Define Spinal Shock | show 🗑
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| show | Defined as the most caudal level of SC that exhibits intact sensory & motor function; muscles must have grade 3+/5 strength
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| show | Total & permanent functional disruption of SC more than 3 segments below level of lesion
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| show | SC is not totally disrupted at level of injury; preservation of some function more than 3 levels below lesion
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| Describe presentation of Brown-Sequard Lesion | show 🗑
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| Describe presentation of Anterior Cord Lesion | show 🗑
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| show | Most common cause hyperext injuries; effects UE sensation & motor function with normal LE function
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| Describe presentation of Posterior Cord Lesion | show 🗑
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| Describe presentation of Cauda Equina Lesion | show 🗑
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| The Diaphragm is innervated by which nerve & it's cord segments. | show 🗑
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| show | Decreased Tidal Volume & Vital Capacity; accessory muscles of inhalation may be used more
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| show | When symp input lost, parasym input remains causing bradycardia, peripheral vasodilation, & hypotension
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| Pressure relief guidelines to prevent pressure sores | show 🗑
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| show | Respiratory dysfunction
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| show | A regular turning program, PROM exercise, elastic stockings & proper positioning of LEs
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| show | A medical emergency characterized by increase in BP, bradycardia, pounding HA, profuse sweating, and anxiety
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| What is the most common cause of Autonomic Dysreflexia? | show 🗑
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| Immediate things to do if pt is experiencing Autonomic Dysreflexia | show 🗑
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| show | Slow progression to vertical while monitoring vitals, use of compression stockings & abdominal binder to minimize effects of hypotension
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| Key muscles in C1-C3 injury | show 🗑
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| Clinical picture of pt with C1-C3 injury | show 🗑
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| Key muscles in C4 injury | show 🗑
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| show | Capable of respiration & shoulder elevation; Chin control WC, adaptive eating equipment, head and mouth stick etc, limited feeding & ADLs, uses glossopharyngeal breath to cough
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| show | Biceps, Brachialis, Brachioradialis, Deltoids, Infraspinatus, Rhomboids, & Supinator
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| show | Power chair with hand controls for community, manual WC with rim projections 200-300 ft indoors, mobile arm supports to assist UEs, needs assistance for manual cough
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| show | Extensor carpi radialis, Infraspinatus, Lats, Pec Major, Serratus Ant, Teres Minor
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| show | Manual WC with projections or friction hand rims, May require power WC for community, can drive auto with hand controls, Tenodesis grip, uses manual cough ind
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| Key muscles in C7 injury | show 🗑
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| Clinical picture of pt with C7 injury | show 🗑
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| Key muscles in C8 injury | show 🗑
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| Clinical picture of pt with C8 injury | show 🗑
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| Key muscles in T1-T5 injury | show 🗑
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| show | Capable of full use UEs, improved trunk control & resp reserve, Standing table for physiological standing, Manual WC, able to wheelie & participate in WC sports
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| show | Long muscles of back including sacrospinalis and semispinalis
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| Clinical picture of pt with T6-T8 injury | show 🗑
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| show | Lower abdominals & all intercostals
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| Clinical picture of pt with T9-T12 | show 🗑
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| show | Gracilis, Iliopsoas, QL, Rectus femoris, & Sartorius
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| Clinical picture of pt with T12-L3 injury | show 🗑
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| Key muscles in L4-L5 injury | show 🗑
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| Clinical picture of pt with L4-L5 injury | show 🗑
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| Cord segments of Abdominal Innervation | show 🗑
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| Cord Segments of Intercostal Innervation | show 🗑
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