Spinal Cord Injury (SCI) Flashcards Preview

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Flashcards in Spinal Cord Injury (SCI) Deck (26)
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1

What is ASIA level E?

Normal

2

What is ASIA level D?

Motor Incomplete:

  • Motor preserved below neurologic level
  • Most key muscle below are > 3/5 MMT

3

What is ASIA level A?

Complete:

  • No sensory or motor in sacral segments S4-S5

4

What segmental injury causes an Areflexive Bladder?

What does it cause?

  • Below T12
  • Urinary retention → BAD
    • Cannot empty

5

What is ASIA level B?

Sensory Incomplete:

  • Sensory, but not motor, preserved below neurologic level
  • S4-S5 working

6

What segmental injury causes a Reflexive Bladder?

What does it cause?

  • Above T10-12
  • CAN empty bladder

7

What are the characteristics of Cauda Equina Syndrome?

- Flaccidity

- Areflexia

- Impaired bowel & bladder function

8

What is the typical mode of injury for Brown-Sequard Syndrome?

Stab wound

9

What mode of injury typically causes Anterior Cord Syndrome?

Flexion

10

At what spinal level injury do you need to watch for autonomic dysreflexia (AD)?

T6 & above

11

Is full recovery expected for Cauda Equina Syndrome?

Not typically

12

What is ASIA level C?

Motor Incomplete:

  • Motor preserved below neurologic level
  • Most key muscle below are < 3/5 MMT

13

What are potential complications of SCI?

  • Ectopic bone (spontaneous bone growth in soft tissue)
  • Orthostatic hypotension (20 SBP or 10 DBP)
  • DVT
  • Pressure Ulcers
  • Spasticity

14

What do people with Brown-Sequard Syndrome loss?

Same side:

- Vibration

- Position sense

Opposite side:

- Pain

- Temperature

 

15

At what spinal level injury can you do a SELF transfer?

C7

16

What is Sacral Sparing?

Does it occur in complete or incomplete injuries?

  • Spares: saddle region, big toe flexors and rectal sphincter
  • Incomplete lesion

17

At what spinal level injury can you use tenodesis grasp?

C6 & C7

18

What is more affected in Central Cord Syndrome:

Motor or sensory?

Motor

19

At what level does Cauda Equina Syndrome occur?

L1 and below

20

Is Cauda Equina Syndrome a complete or incomplete injury?

Either

More Incomplete than complete

21

What do people with Anterior Cord Syndrome loss?

Below level of injury:

- Motor function

- Pain 

- Temperature

22

At what spinal level injury can you learn a self-assisted cough?

C5

  • Diaphragm, scalenes and weak pecs
  • Elbow flexors → used for abdominal contraction

23

What is the typical mode of injury for Central Cord Syndrome?

Hyperextension

24

Is Cauda Equina Syndrome considered a central or peripheral nerve injury?

peripheral 

25

What is more affected in Central Cord Syndrome:

Upper or lower extremities?

Upper extremities

26

What are the signs and symptoms of autonomic dysreflexia?

Above the level of injury:

  • Fever
  • Sweating
  • Inc BP & HR

**symptoms will worsen until noxious stimulus is removed (exercise, catheter, etc.)