SCI Part 1 Flashcards

1
Q

common demographic of SCI

A

M > F

non-hispanic whites

29 yo tas naging 43 yo

usually MVA - motor

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2
Q

discuss traumatic SCI

A

MVA

falls

acts of violence

sports-related: water park, diving, wrestling, F1, skiing

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3
Q

discuss non-traumatic SCI

A

vascular dysfunction - AVM

thrombosis, embolus, hemorrhage

vertebral subluxations - RA, DJD

spinal neoplasms - syringomyelia

infectons - syphilis, transverse myelitis

neuro diseases - MS, ALS

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4
Q

less than 1 % of persons exp ______

A

complete neurological recovery

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5
Q

extent of lesion from most common to least

A

incomplete tetraplegia

incomplete paraplegia

complete tetraplegia

complete paraplegia

normal

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6
Q

mortality rate is higher during ______

A

first yr of injury

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7
Q

factors that influence life expectancies

A

younger pt = better prognosis

level of injury - phrenic affectation = affected diaphragm

incomplete SCI c intact sacral segments = longer life

more caudal injuries - greater life expectancy

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8
Q

the spinal cord exits the _____ and extends to _____

A

exits the foramen magnum and extends to L1 vertebral level

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9
Q

spinal cord ends in ____ at L1

A

conus medullaris

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10
Q

spinal cord becomes a mass of nerve roots called

A

cauda equina

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11
Q

primary ascending tracts

A

dorsal column

anterolateral spinothalamic, spinoreticular, spinotectal

dorsal and ventral spinocerebellar

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12
Q

dorsal column

A

proprioception

vibration

deep touch

discriminative touch

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13
Q

anterolateral spinothalamic, spinoreticular, spinotectal

A

pain

temp

crude touch

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14
Q

dorsal and ventral spinocerebellar

A

unconscious proprioception

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15
Q

primary descending tracts

A

ant and lat corticospinal

medial vestibulospinal

lat and medial vestibulospinal

lat and medial reticulospinal

rubrospinal

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16
Q

ant corticospinal

A

voluntary movement

17
Q

lat corticospinal

A

voluntary movement of axial muscles

18
Q

medial vestibulospinal

A

pos of head and trunk

19
Q

med and lat vestibulospinal

A

posture and balance

20
Q

lat and medial reticulospinal

A

posture, balance and gait related movements

21
Q

rubrospinal

A

movement of limbs

22
Q

tetraplegia

A

complete paralysis on all 4s, trunk and respiratory muscles

lesion of cervical cord

23
Q

paraplegia

A

complete paralysis of all or part of trunk and both LE

lesions of thoracic or lumbar SC or cauda equina