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Spinal Cord injury levels
Functional levels of spinal cord injuries
18
Anatomy
Graduate
12/19/2011

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Cards

Term
ASIA scale
Definition
impairment scale for SCI
A- complete, no function
B- Incomplete (sensory preserved, no motor)
C- Incomplete (motor function preserved, but no sensory)
D- Incomplete- 3/5 muscle grade below injury
E- Normal
Term
Spinal Shock
Definition
4-8 weeks, all reflexes below injury gone, flaccid paralysis
Term
Central Cord
Definition
more UE than LE problems, hyperextension injuries
Term
Brown-Sequard
Definition
Hemi (ipsilateral spastic paralysis and proprioception loss
Contralateral lose of pain/temp
Term
Anterior Cord
Definition
Flexion injuries,
Loss motor, pain, temp bilateral below injury level
Term
Conus Medullaris
Definition
Injury of S/L roots, lose LE and sensory loss, bladder control
Term
Cauda equina
Definition
L1 or below, lose LMN, flaccid paralysis
Term
Common complications
Definition
respiratory, pneumonia, pressure sores, orthostatic hypotension, autonomic dysreflexia, UTI, ossification, DVT
Term
C3
Definition
vent, limited voice (diaphragm)
Use mouth stick, chin control for mobility, Power tilt for pressure relief
Term
C4-
Definition
head/neck control, some shoulder shrug
operates adjustable bed, adapted controls
Term
C5-
Definition
bend elbows-
Indep with eating,drinking, face washing, shaving with SETUP
Self assist coughs
Short distance with manual chair, DRIVING with modification
Term
C6
Definition
extend wrist
light housework
turn in bed independently, skin checks
Slide board for I transfers
TENODESIS Grasp
Term
C7
Definition
Straighten elbows
wheelchair pushups for pressure relief
Term
C8-T1
Definition
some finger strength/precision
I living for bowel/bladder, hygiene, transfers
Term
T2-T6
Definition
Increased trunk control, rib/chest
independent with all self care
Term
T7-T12
Definition
Unsupported seating
cough effective
Term
L1-5
Definition
Some hips and knees
May walk with braces
Term
S1-5
Definition
walk with few/no devices
some voluntary sex/bladder/bowel ability
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