SCI medical lecture

Question 1

Which of the following incomplete spinal cord injury syndromes presents with bilateral upper extremity dysfunction greater than lower extremity dysfunction below the level of the lesion?

Answer 1

central cord

Question 2

Which of the following incomplete spinal cord injury syndromes presents with bilateral paralysis and preservation of light touch and proprioception below the level of the lesion?

Answer 2

anterior cord

Question 3

Which of the following is the ASIA Impairment Level that includes no sensory or motor function at S4-5, has a positive “NOOOON” sign, and is considered a sensory and motor complete injury?

Answer 3

AIS A

Question 4

Which of the following is the ASIA level that describes an individual who has more than half of the muscles below the lesion equal to or greater than a 3/5?

Answer 4

AIS D

Question 5

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C6 function?

Answer 5

wrist extensors

Question 6

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C8 function?

Answer 6

finger flexors

Question 7

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L2 function?

Answer 7

hip flexors

Question 8

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for S1 function?

Answer 8

ankle plantar flexors

Question 9

You are working with your patient who has a C6 spinal cord injury on mat rolling skills in the PT gym. He reports not feeling well and has a headache. You notice that his face and neck are red. What should you do first?

Answer 9

sit him up immediately

Question 10

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C5 function?

Answer 10

elbow flexors

Question 11

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C7 function?

Answer 11

elbow extensors

Question 12

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for T1 function?

Answer 12

finger abductors (little finger)

Question 13

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L3 function?

Answer 13

knee extensors

Question 14

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L4 function?

Answer 14

ankle dorsiflexors

Question 15

Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L5 function?

Answer 15

long toe extensors

Question 16

define Asia A

Answer 16

complete
no sensory or motor function is preserved in sacral segments S4-5

Question 17

define ASIA B

Answer 17

sensory incomplete
-sensory but not motor function is preserved below neuro level and includes segments S4-5

no motor function more than 3 levels below

Question 18

define ASIA C

Answer 18

motor incomplete
-motor preserved at most caudal sacral segments
muscle grade > or equal to 3

Question 19

define ASIA D

Answer 19

motor incomplete
motor incomplete as defined by ASIA c with at least half of key muscle functions below having a mnuscle grade > or equal to 3

Question 20

define ASIA E

Answer 20

normal

Question 21

how do you treat motor incomplete injuries

Answer 21

-build stability LE and core strength
-introduce upright mobility early
-high intesnity training to promote walking recovery
-maximize LE support and strength to decreaes UE dependnce
-

Question 22

what does recovery from SCI depend on

Answer 22

1. intiial level of injury
2. initial strength of muscles
3. incomplete injury
4. age less than 50 at time of injury