SCI prognosis/exam

Question 1

What increases likelihood of motor return in SCI?

Answer 1

sensation at any level, especially pin prick (spinothalamic and corticospinal are close)

Question 2

Greatest improvement is how long after injury?

Answer 2

50-100 days (plateau 300-400)

Question 3

CPR for walking

Answer 3

1. age less than 65
2. quad muscle grade
3. gastroc/soleus muscle grade
4. light touch sensation at L3
5. light touch at S1

Question 4

Autonomic dysreflexia affects individuals at what level of injury?

Answer 4

T6 and above

Question 5

Signs of AD?

Answer 5

elevated BP, pounding HA, bradycardia, sweating above, flushing above, anxious

Question 6

3 phases of a skilled transfer?

Answer 6

preparation
lift
descent

Question 7

Observations for rolling

Answer 7

(decreased) neck flexion
speed
excursion of UE
excursion of trunk and LE

Question 8

Observations for coming to sit

Answer 8

excessive time, effort, falling

Question 9

Observations for sitting/scooting

Answer 9

falls in short sitting w/o arms
falls with perturbations
falls with reach
not enough pelvic lift/movement

Question 10

Observations for transfers (with triceps)

Answer 10

not enough lift of pelvis
not enough excursion of pelvis from w/c to mat
fall following transfer

Question 11

Observations for transfers (without triceps)

Answer 11

insufficient shift of pelvis toward front of WC
not enough lift of pelvis
not enough excursion of pelvis from WC to mat
fall following

Question 12

Observations with WC propulsion

Answer 12

insufficient speed during pull or push

insufficient excursion during recovery