Trauma Flashcards
State with a disturbance of attentional mechanisms, where patient is unable to form new memories. May demonstrate either hypoarousal or hyperarousal
Confusional State
State where confusion is clearing and some memory is possible and there is limited insight
Emerging Independence
Lesion level of SCI indicates what in terms of movement?
Most distal uninvolved nerve root with normal function
Muscles must have >3+/5
Asia scale for complete injuries
A
Asia scale for Incomplete: Sensory but not motor function is preserved below the neurological level including sacral segments
Asia B
ASIA scale for Incomplete: Motor function preserved below level and most key muscles below have muscle grade less than 3
ASIA C
ASIA Scale for Incomplete: motor function preserved below the level and muscles have >3/5
ASIA D
Central Cord Lesion is most likely caused by what?
Hyperextension Injuries
What do you lose with a central cord synrome?
Bilateral loss of spinothalamic tracts (Pain and temperature)
Bilatearl Loss of Ventral Horn (motor function)
What is primary motor loss with central cord syndrome?
Primarily UE
What 2 sensations are preserved with central cord lesions?
Proprioception and Discrimination
What is lost with Brown-Sequard Syndrome
Ipsilateral Loss of Dorsal Columns (Tactle discrimination, pressure, vibration, proprioception)
Ipsilateral Loss of Cortiospinal Tracts (Motor function)
Contralateral loss of spinothalamic tract (pain and temperature)
Where is there bilateral loss in Brown-Sequard?
At lesion level, bilateral loss of pain and temperature
What causes an anterior cord injury?
Flexion Injury
What is lost with Anterior Cord Syndrome
Bilateral loss of lateral corticospinal tracts (Motor function)
Bilateral loss of spinothalamic tracts (pain and temperature)
What is preserved with anterior cord syndrome?
Dorsal columns - proprioception and kinesthesia
What is preserved in posterior cord syndrome?
Motor, pain and light touch
What level injury causes respiratory insufficiency?
C4
Sx of Autonomic Dysreflexia (7)
- Paroxysdomal HTN
- Bradycardia
- Headache
- Diaphoresis
- Flushing
- Diploplia
- Convulsions
Patient with a C1-C4 Lesions require what kind of w/c?
Electric w/c with tilt-inspace
C1-C4 lsion w/c has what to control the w/c?
Microswitch or puff-and-sip control
Patients with C5 injury use what kind of w/c?
Manual w/c for short distances - often choose electric for energy conservations
Patients with C5 Injuries have what function?
Shoulders and Elbow flexion
Pts with C6 Lesion still have what?
Radial wrist extensors
What kind of w/c for C6 injury?
Manual w/c with friction surface hand rims
Patients with c& injury have what level of function?
Tricep control
Locomotion expectations for pts with midthoracic lesions (T6-T9)
S Ambulation for short distances
Bilateral KAFO and crutches
Gait pattern for T6-T9 lesions?
Swing to gait pattern
Locomotion expectation for pts with High Lumbar Lesions (T12-L3)
Independent in all ambulation, W/C for community ambulation
4 point gait pattern with crutches and Bilateral KAFOS
Equipment for Low lumbar lesions
Bilateral AFO and crutches/cane
