Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

216 final > SCI > Flashcards

SCI Flashcards

(57 cards)

Start Studying
1
Q

potential causes of death that significantly affect life expectancy?

A

pneumonia, septicemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

susceptible regions of injury? why>

A

c1, c2, c5-c7, t12-L2 bc more rotation and large spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how do you name the injury?

A

boney spine segment involved then last spinal root innervated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

tetraplegia

A

cervical–impaired UE, LE, trunk & pelvic organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

paraplegia

A

thoracic–UE spared, vary LE, trunk and pelvic organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

cauda equina injuries

A

at L1 or below

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ASIA Scale neuro level

A

most caudal segment of the cord with intact sensation & antigravity (3 or more) muscle function strength, provided that there us normal intact sensory and motor function –partial innervation up to 3 levels below

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ASIA normal muscle

A

lowest key muscle w/ mmt grade of fair (3.5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

cervical flexion & rotation

A

–most common

Post spinal lig/disc rupture, upper vert displaced on lower, rear end mva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

cervical hyperflexion

A

ant compression wedgelike fx, stretch PLL, sever ant spinal artery, incomplete anterior cord syndrome–head on collision on blow to back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

cervical hyperextension

A

w/ fall chin strikes and go back– rupture ALL, compress & rupture disc, sc ends up between lig falv & vert body w/ central cord injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

compression injury

A

vetrical force like dive–fc vert end plates& move nuleus into vert body–ligs stretch but stay intact. –if produced by osteoporosis, or ra can still cause sci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

loss of function 2 levels above initial injury==?

A

sci damage in more than one place

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

spinal shock

A

flaccid–>areflex, loss of BBladder, auto deficits, dc art blood like poor temp reg. fro 24-48 hours–resolve & reflex activity below level will return 1-6 mths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ASIA IS

A

A-complete- no MS in S4-5
B-Sensory inc–only sensory function below level w/ no motor 3 levels below
C-Motor Inc–only motor below level, more than half key function have mmt less than 3
D-Motor Inc–only motor below level, more than hal key function at 3 or more mmt
E-normal-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

complete injury

A

sc transection, sc compression or vascular compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

zone of partial preservation

A

caudal segenmt w/ some sensory/ motor only in complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Incomplete injuries

A

partial preservation of motor/ sensory function–must have perianal sensation or voluntary contraction of external sphincter–usually have abnormal tone or spasticity (clonus, dtr)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Brown sequard

A

gunshot, stab–dc motor funcion, proprio, vibration on same side of injury–pain/temp lost on opp–> independent w/ adls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Ant Cord Syndrome

A

flex w/ fx dislocation of cervverts–dc motor, pain, temp, Bilateral below—position & vibration intact–> limited return since all voluntary control lost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

central cord syndrome

A

stenosis, hyper/ injury–damage to all 3 tracts–ue more involved–sensory deficit–>can do functional adls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

dorsal column syndrome/ post cord

A

compression of spinal artery–loss of proprioception/ vibration bilaterally—can move, feel pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

cauda equina injury

Study These Flashcards
A

directtrauma beloe l1–affect upper/ lower neuros, flaccid loss of bowel bladder,

24
Q

conus medullaris

Study These Flashcards
A

damage to sacral aspect of spinal cord & lumbar nerve roots–flaccid LE, bowel bladder dysfunction, sacral reflex intact in some

25
root escape
preservation or return of function in nerve roots near site
26
resolution of spinal shock
flexor spasticity than interruption of vestibulospinal tract thennn extesonr tone
27
complications of SCI
pressure ulcer-- 1 mine very 15-20 autonomic dysreflexia--SNS instability--uti sores, temp change hypotension, pain (nociceptive vs nueropathic), contractures, heterotropic ossification, dvt(**2-3 mths), osteoporosis, respiratoryc ompromise, bB dysfunction, sexual dysfunction, spasticity
28
symptoms of autonomic dysreflexia
hypertension, severe pounding headache, bradycardia, vasoconstriction below the level of lesion, vasodilation( flush) sweating, constricted pupils, goose pumps, lurry vision, runny nose
29
signs of heterotropci ossification
swelling,w armth , pain, limited ROM w/or w/o fever
30
respiratory compromise
phrenic-c3-c5, external intercostals t1-- paraplegia below t12 can use 2 chest, 2 diaphragm breathing upper abs t7-9, lower t9-12 (coughing limited)
31
bladder
s2-4 hyper/spastic= scral reflex intact nonreflex/ flaccid- no sacral reflex arc--manually empty above s2-spastic or reflex bowel s2-s4 flaccid or arereflex bowel=cant emty
32
sexual issues
men cant ejaculate w/ upper or lower motor neuron injuries, women can get preggers
33
spasticity
higher in pts w. cervical and incomplete injuries especially B & C on ASIAIS--can be good for muscle bulk, circulation, and increased anal sphincter tone
34
c1-c3
Vent, totally dependent- WC with sip and puff unit
35
C4
some diaphragm innervation- wc with chin cup or mouth stick, completely dept w/ adls
36
c5
deltoid, rhoms,biceps (cant / elbow)--pressure releif, can give some help with slide board transfer, can perform son UE adls, drive with van and hand controls
37
c6
wrist /, pecm joar, teres major--Ind w/ roll, feed, dressing uE. can propel wc w/ prjection, help for LE dress--can drive w/ adaptive controls
38
c7
live indep. bc of triceps--releif, dressinf, slide board, can drive car iwth adaptivec ontrols
39
c8
live indep, increase finger control, can do wheelies in wc for curbs
40
T1-T9
increase trunk control, productive cough--operate maual wc-can stand and therapeticaluly ambulate
41
t10-l2
therapeutic ambulation and home ambulation with orthosis
42
l3-l5
quad function--independent with community amb & orthosis
43
acuteb reathing exercises
epigastric rise--check this to ake sure theya re breathing GLossopharangeal--high tetra->ah oops lateral expand--(t1-t12)--expand chest lat incentive spriometry-vital capacityt aken chest wall stretch--manual--hand on rib and chest postural drainage cough
44
rom acute intvn
shld flex, abd= 90, 60/, 90 ER
45
tenodesis
passive insufficiencyc auses subsequent flexing of finger flexors to grip things--DONT OVER STRETCH!
46
prom
HS range must be at 110 for long sit--stretch hip ext, flexs, rotators! need 100 flexionf or wc transfer, 45 extension of hip for dressing
47
unstable lumbar spine range
hip flexion at 90w ith knees flexed and 60 with knees traight
48
key muscles need to be strengthened for tetraplegia
ant deltoids, shlde xt, biceps
49
key muslces to be strengthened for paraplegia
should depressors, triceps, lat dorsi
50
c1-c4 transfers
completely dependent-- 2 person lift (high tetraplegia), hoyer or depnt sit pivot transfer
51
modified stand pivot
incomplete w/ le innervation even w/ extensor tone
52
airlift
preferredf or significant low extremity extensor tone 9preventss hear force)
53
slide board transfer
30degree angle--c6 tetraplegic can transfer Indepen.
54
prone on elbows
c6 tetraplegic
55
lateral push up transfer
c7 with goodt ricep can do this without sliding board
56
independent self range motion
c7 tetaplegia should be instructed on seld range motion to lower extremitie in sitting
57
hip sawyer
long sit, shift butt over

216 final (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions