Classifications of SCI Flashcards

1
Q

Quadriplegia

A
  • Textraplegia
  • Partial or complete paralysis of extremities and trunk
  • Including paralysis of mm’s of respiration
  • Lesions
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2
Q

Paraplegia

A
  • Partial or complete paralysis of all or part of the trunk and both LE
  • Lesions
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3
Q

Paraplegia Lesions

A
  • Thoracic Vertebrae
  • Lumbar Vertebrae
  • Sacral roots
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4
Q

Quadriplegia Lesions

A
  • in the cervical spine

- 52% of SCI

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5
Q

Designation of Lesion level ASIA

A
  • Determine motor and sensory levels on both sides
  • 28 Sensory points within dermatones
  • Light touch/Sharp/Dull
  • 3 Point grading scale 0-2 (absent, impaired, present)
  • Level named by the most inferior nerve root segment with “normal” function
  • May be complete or incomplete
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6
Q

ASIA defines normal as at least __ mmt.

A
  • 3
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7
Q

Avoid __&__ with ASIA

A

+&-

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8
Q

__% or more are incomplete

A
  • 50
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9
Q

ASIA impairment scale defines __ grades of SCI

A
  • 5
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10
Q

Grades of ASIA

A
  • A,B,C,D,E
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11
Q

Grade A

A
  • Complete SCI
  • No motor or sensory function is preserved in the sacral segments S4-S5.
  • Sacral exam voluntary anal contraction absent
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12
Q

Grade B

A
  • Incomplete
  • Sensory sparing, including sacral sparing
  • S4-S5 anal sensation present
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13
Q

Grade C

A
  • Incomplete
  • Weak motor sparing below neurological level
  • 3 or less
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14
Q

Grade D

A
  • Incomplete
  • Strong motor sparing below neurological level
  • 3 or More
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15
Q

Grade E

A
  • Normal

- Sensory and motor function

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16
Q

Complete Lesion caused by?

A
  • Complete Transection
  • Severe Compression
  • Extensive Vascular impairment to the cord
17
Q

Complete lesion results in?

A
  • Absence of all sensory and motor function below the injury
18
Q

Incomplete Lesion caused by?

A
  • Continuous pressure on the cord (possible recovery with decrease of pressure)
  • Partial transaction
19
Q

Clinical picture of Incomplete lesion is ____ variable and _______.

A
  • Highly

- Unpredictable

20
Q

Is there preservation of some sensory/motor function below the level of injury with Incomplete lesions?

A
  • YES