SCI medical lecture Flashcards
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?
central cord
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?
anterior cord
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?
AIS A
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?
AIS D
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C6 function?
wrist extensors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C8 function?
finger flexors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L2 function?
hip flexors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for S1 function?
ankle plantar flexors
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?
sit him up immediately
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C5 function?
elbow flexors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for C7 function?
elbow extensors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for T1 function?
finger abductors (little finger)
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L3 function?
knee extensors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L4 function?
ankle dorsiflexors
Based on the ASIA/ISNCSCI exam, which of the following is the key muscle for L5 function?
long toe extensors
define Asia A
complete
no sensory or motor function is preserved in sacral segments S4-5
define ASIA B
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
define ASIA C
motor incomplete
-motor preserved at most caudal sacral segments
muscle grade > or equal to 3
define ASIA D
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
define ASIA E
normal
how do you treat motor incomplete injuries
-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
-
what does recovery from SCI depend on
- intiial level of injury
- initial strength of muscles
- incomplete injury
- age less than 50 at time of injury
