SCI

Question 1

2 types of SCI

Answer 1

1. traumatic

2. non-traumatic

Question 2

non-traumatic SCIs can be caused by… (3)

Answer 2

1. disease
2. congenital
3. Vascular malformations (same as CVA)

Question 3

infection or inflammation that covers entire thickness of spinal cord

Answer 3

transverse myelitis

Question 4

partial preservation of sensory/motor function found below neurological level. May still have contact w/ some spinal cord segments

Answer 4

incomplete injury

Question 5

absence of sensory and motor function below the injury site

Answer 5

complete injury

Question 6

levels caudal to the neurological level that remains partially innervated. Complete SCI only

Answer 6

zone of partial preservation

Question 7

injury in the center of the spinal cord caused by a thrombus/clot or tumor. Greater weakness in UE than LE

Answer 7

central cord syndrome

Question 8

injury site on 1/2 of the sc

Answer 8

Brown Sequard syndrome

Question 9

brown sequard syndrome DML and ST tract loss…

Answer 9

DML: side of injury
ST: contralateral side

Question 10

anterior cord syndrome loss/retention

Answer 10

loss: motor function, pain and temp below injury
retention: position and vibration sense below injury

Question 11

posterior cord syndrome loss/retention

Answer 11

loss: position and vibration sense below injury
retention: motor function, pain and temp below injury

Question 12

injury to lumbosacral nerve roots. A-reflexic bladder, bowel, and lower limbs affected

Answer 12

cauda equina lesion

Question 13

motor loss=

Answer 13

UMN

Question 14

voluntary mm contraction loss=

Answer 14

LMN

Question 15

SCI pt education (3)

Answer 15

1. body care
2. energy conservation
3. lifestyle changes

Question 16

most common medical complicaiton following SCI

Answer 16

pressure ulcers

Question 17

SCI pt position time frame for pressure relief during the day

Answer 17

every 15-20 min for 30 sec

Question 18

SCI pt position time frame for pressure relief at night

Answer 18

turn every 2 hours

Question 19

SCI positioning precautions

Answer 19

1. spinal alignment
2. maintain flexed grip
3. autonomic dyreflexia
4. lines/monitors

Question 20

transfers start w/ slide board and ultimately want to get to…

Answer 20

swing pivot

Question 21

triggered by noxious stimuli below level of injury (bladder/bowel)

Answer 21

Autonomic dysreflexia

Question 22

autonomic dysreflexia systemic effects (2)

Answer 22

1. hypertension

2. horner’s syndrome

Question 23

pupillary contraction, loss of sweating on affected side of face

Answer 23

horner’s syndrome

Question 24

autonomic dysreflexia tx (2)

Answer 24

1. sit up

2. find/remove stimuli

Question 25

body does this to indicate something is wrong

Answer 25

increase spasticity

Question 26

spastic/reflexive bladder/bowel function

Answer 26

T12 or higher

Question 27

flaccid bowel/bladder function

Answer 27

below T12

Question 28

organs drop inferiorly and vacuum diaphragm flat/inferior in SCIs above

Answer 28

T7

Question 29

clinical interventions focused mainly on disease process

Answer 29

medical model

Question 30

interventions focused mainly on behaviors

Answer 30

healthcare model

Question 31

top two causes of death for pts w/ SCI

Answer 31

1. pneumonia

2. septicemia