SCI

Question 1

how’d reeve die

Answer 1

pressure sore ischial tuberosity - cardiac arrest

Question 2

3 concerns of SCI

Answer 2

walking bowel sex

Question 3

SCI in injuries

Answer 3

7%

Question 4

paraplegia

Answer 4

motor and or sensory legs

Question 5

tetraplegia

Answer 5

motor /sensory legs n arms

Question 6

another name tetraplegia

Answer 6

quadriplegia

Question 7

para or tetra more common

Answer 7

tetra

Question 8

after 45 most common cause SCI

Answer 8

falls

Question 9

concussion

Answer 9

from blow, temporary loss function

Question 10

contusion

Answer 10

gill and cord are intact

loss of central grey /white matter

Question 11

laceration

Answer 11

glial disrupted, cord torn

transection possible

Question 12

mechanism of SCI

Answer 12

excessive flexion / extension

Question 13

excessive flexion who, extension who

Answer 13

flexion younger

extension older ppl

Question 14

general patho of SCI

Answer 14

first 18 hours necrotic death of axons damaged
lesion program up n down (ie. 4 sets)
apotosis

Question 15

primary injury

Answer 15

structure damage instantly after event

Question 16

secondary injury

Answer 16

extensive injuries if not immobilized

Question 17

what trigger necrosis

Answer 17

excitotoxic changes

Question 18

how long can necrosis last

Answer 18

weeks

Question 19

how much of cord supports locomotion

Answer 19

10% so save everything

Question 20

T/F preventing edema helps SC injuries

Answer 20

true

Question 21

whats demyelination do

Answer 21

reduce firing rate

degenerates

Question 22

how much grey matter loss in SCI

Answer 22

1-1.5 spinal segments about the lesion

Question 23

what happens to neural function below lesion

Answer 23

accelerated aging n loss of function

Question 24

diaschesis

Answer 24

atrophic changes from loss of signals in brain

Question 25

phases of spinal shock

Answer 25

1-4

Question 26

phase 1 spinal shock

Answer 26

loss reflexes below injury one day hyperpolarized

Question 27

phase 2 spinal shock

Answer 27

return of some reflexes

Question 28

phase 3 spinal shock

Answer 28

monosynaptic (deep tendon) reflexes restored

Question 29

phase 4 spinal shock

Answer 29

hyperreflexia internureron and LMN attempt to reestablish

Question 30

A asia

Answer 30

complete. no motor or sensor in s4/5

Question 31

B asia

Answer 31

incomplete | sensory preserved below neuro level and s4/5

Question 32

C asia

Answer 32

incomplete | motor preserved below neuro level + half mm's below neuro have grade 3

Question 33

D asia

Answer 33

incomplete | motor preserved below neuro level + grade 3 or more

Question 34

E asia

Answer 34

motor n sensory are normal

Question 35

Complete injury

Answer 35

absence of sensory n motor function in segment below the injury

Question 36

incomplete injury

Answer 36

partial motor n sensory below neuro level

Question 37

sacral sparring

Answer 37

voluntary anal spinster contraction or sensory function

Question 38

why sacral sparring important

Answer 38

some white matter long tracts (corticospinal and spinothalamic tracts intact)

Question 39

why don't CNS regenerate as PNS

Answer 39

CNS has oligos myelin debris removed CNS myelin has inhibitory factors CNS astro make scars

Question 40

brown squared syndrome

Answer 40

Hemi section of cord ipsilateral contralateral dorsal column tract

Question 41

brown squared ipliateral feature

Answer 41

mm wekaness abnormal reflex clonus / spastic cortico / reticospinal damage

Question 42

brown squared contralateral features

Answer 42

pain n temp loss belo lesion lateral spinothalmic

Question 43

contralateral spinothalamic tract lesion

Answer 43

loss of pain temp light ouch below dermatome

Question 44

genearl brown squared

Answer 44

loss all modality at one or more dermatomes loss of pain / temp below specific dermatome loss proprio, disc touch , limb weakness at similar level

Question 45

partial lesion also known as

Answer 45

brown

Question 46

complete cord lesion

Answer 46

bilateral loss all modalities | bilateral leg weakness

Question 47

central cord lesion

Answer 47

bilateral loss of pain n temp | has proprio and discrimination sensations

Question 48

syringomyelia

Answer 48

cyst in cord spontaneous or after injury blocks CSF flow

Question 49

symptoms stringomyelia

Answer 49

pain spasm phantom | reflex changes

Question 50

wheres autonomic dysreflexia

Answer 50

above t5

Question 51

autonomic dysreflexia

Answer 51

irratating stimulus below injury reflex activated results in vasospasm (inc BP)

Question 52

signs of autonomic dysrefelxia

Answer 52

``` pounding headache goose bumps sweating above injury nasal congestion cold clammy skin below injury ```

Question 53

associated changes after SCI

Answer 53

spastic thermal regulation skin mm

Question 54

spasticity

Answer 54

inc sensory responsiveness

Question 55

spasticity from

Answer 55

distended bladder, infection , smoking, fracture, stressors

Question 56

treat spasticity

Answer 56

meds, positioning, stretching

Question 57

thermal regulation

Answer 57

loss of tract from hypothalamus | Shivers n sweats

Question 58

most common cause of death SCI

Answer 58

resp - pneumonia

Question 59

bowel and bladder controlled by

Answer 59

s2-4

Question 60

at conus what happens to bladder

Answer 60

flaccid

Question 61

above s2 what happens bladder

Answer 61

reflex

Question 62

mm issues for SCI

Answer 62

fatigue ulcers stress injuries osteoporosis