SCI

Question 1

Hemicord

Answer 1

Ipsilat loss of vib and position sense below lesion.
At level of lesion: loss of position sense.
Contralateral loss of pain and temp, and motor below lesion.

Question 2

Central Cord

Answer 2

Damage ventral commissure - lose pain and temp.

Cape like distributions in cervical lesions.

Question 3

Posterior Cord

Answer 3

Loss of vibration and position sense.

Question 4

Anterior Cord

Answer 4

Loss of pain, temp, and motor.

Question 5

Ambulation outcome: C8 and higher

Answer 5

Ambulation not feasible

Question 6

Ambulation outcome: T1-9

Answer 6

ambulation for exercise with KAFOs with lock knees

Question 7

Ambulation outcome: T10-12, L1-3

Answer 7

independent functional ambulation within home and short community distances. High energy use.

Question 8

Ambulation outcome: L4

Answer 8

Fully innervated quad, may need AFO.

Question 9

Ambulation outcome: L5, S1, S2

Answer 9

Independent community ambulation

Question 10

Functional outcomes: C1-4

Answer 10

Total A, power WC

Question 11

Functional outcomes: C5

Answer 11

Some A for bed mobility, total A for transfers

Question 12

Functional outcomes C6

Answer 12

Some A with bed mobility and level transfers. Independent with WC indoors, independent power WC

Question 13

Functional outcomes: C7-8

Answer 13

Independent bed mobility and transfers, manual WC. some A with unlevel terrain

Question 14

Functional outcomes: T1-9

Answer 14

independent with WC

Question 15

Functional Outcomes T10-L1

Answer 15

some A-independent with functional ambulation with KAFO and lofstrands/walker

Question 16

Functional outcomes: L2-S5

Answer 16

ambulation with KAFOs or AFOs and lofstrands/walker

Question 17

Respiratory Function: C3

Answer 17

can ween from vent, but will require assistance coughing

Question 18

Respiratory function: C5-8

Answer 18

some capacity for coughing

Question 19

Respiratory function: T1-5

Answer 19

increased capacity for inhalation and coughing

Question 20

Respiratory function: L1 and below

Answer 20

respiratory function preserved

Question 21

PAradoxical breathing

Answer 21

Injury above T1, lack of rib stabilization by intercostals, so diaphragm pulls rib cage up and in. The chest will decrease in size with inhalation, and it will decrease the amount of air inspired.