2.29 SCI 3 Flashcards

1
Q

What MMT scores mean full innervation?

A

3, 4, 5

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2
Q

lower MMT score than 3

A

lower than this means partial or no innervation

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3
Q

ASIA scale: line drawing

A
  • 3 or 4, draw a line below

- 2 or 1 or 0, draw a line above it

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4
Q

ASIA impairment scale

A

A-E

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5
Q

ASIA impairment scale: A

A

no motor or sensory function preserved in S4-5

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6
Q

ASIA impairment scale: B

A
  • sensory but not motor function is preserved below the neurological level
  • includes S4-5
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7
Q

ASIA impairment scale: C

A
  • motor function preserved below neurological level of injury
  • more than half of key muscles below the neurological level have a grade less than 3
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8
Q

ASIA impairment scale: D

A
  • motor function preserved below neurological level of injury
  • at least half of key muscles below the level of injury have a grade of at least 3
  • tells us they have motor and good strength below the level
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9
Q

ASIA impairment scale: E

A

motor and sensory function normal

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10
Q

benefit to using ASIA scale

A

helps us be able to classify incomplete injuries

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11
Q

How would an SCI pt go from B to C?

A

they have to have motor function below the level

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12
Q

ZPP

A

zones of partial preservation

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13
Q

What are ZPPs for? How do you find them?

A
  • For complete injuries ONLY
  • lowest motor and lowest sensory level with ANYTHING occurring
  • add up numbers for motor score on R and L
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14
Q

How do you interpret ZPP score?

A

higher the number, the more is working (DUH)

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15
Q

Brown Sequard

A
  • ipsilateral loss of deep, discriminitive touch, motor, etc.
  • contralateral motor
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16
Q

central cord patient

A
  • outermost part of the cord is intact, central cord is where damage has occurred
  • profound weakness in UE and have strength in LE
  • bed mobility difficult, sit to stand difficult
17
Q

How does a central cord pt walk?

A

like a penguin

18
Q

Can central cord pts learn to walk again?

A

yes

19
Q

anterior cord syndrome

A
  • variable loss of motor
  • variable loss of deep/crude touch
  • posterior portion intact, so they still have proprioception
20
Q

posterior cord syndrome

A
  • rarely seen
  • gets rid of proprioception
  • have motor and deep/crude touch
21
Q

posterior cord syndrome: what does this look like?

A
  • tend to stomp, trying to get any sensory information they can
  • don’t know where to put their limbs when walking
  • used to see it a lot with tertiary syphilis
22
Q

cauda equina/conus medullaris SCI

A
  • might have LE weakness

- typically affect bowel and bladder