SCI Overview
This is the functional impairment of central cord syndrome
What is loss of motor function?
**and UE typically more impaired than LE
These are examples of noxious stimuli that could trigger autonomic dysreflexia
What are: distended bladder, infection, bladder stones, ingrown toenail, or pressure sores?
This is the most important factor for prognosis in incomplete SCI
What is white matter sparing?
This is typically the final intervention for kids with scoliosis with myelodysplasia
What is surgery?
**Bracing is NOT effective...prior to surgery, PT can work on trunk balance, postural strengthening, and positioning
Following spinal shock, an injury above the T12 level will result in this type of bladder
What is reflex?
These tracts/pathways run in the lateral column of the spinal cord
What are spinothalamic and corticospinal?
Ambulation is really difficult if the complete injury is above this level
What is L1-L2? (because we really need hip flexion to walk)
_______ (incomplete or complete) lesions tend to result in more spasticity/hypertonia
What is incomplete?
These are sxs of a shunt malfunction in infants
What are: enlargement of head, full fontanelle, crying, sleepiness, and vomiting?
If a pt has a pressure sore/wound, you would want to give them this type of cusion
What is ROHO/Air?
This is the MOI of anterior cord syndrome
What is an over flexion injury?
Manual w/c propulsion becomes possible at this level
What is C5?
ASIA D level scores are variable at C4 due to variability in this
What is respiratory function?
What are: poor UE strength, poor coordination, and poor sitting balance (trunk control)?
People with non-neurological conditions, such as CHF, COPD, or amputations, would likely use this PWC base
What is group 2 base?
This ASIA level shows preserved motor function below injury level with the majority of key muscles below scoring <3/5
What is level C?
For a paraplegic patient to ambulate, their bilateral KAFOs should maintain the LEs in this position (knee and ankle)
What is knee extension and block PF past neutral while allowing for full range DF?
If a pt has an L3 spinal cord lesion and a quads MMT score of 4/5, they would likely need this type of bracing
What is an AFO? (as opposed to a KAFO if they were <3/5)
These are sxs of a tethered cord
A pt has recently been injured and has never used a pwc before and needs it for school. This is the type of drive system they should have on their pwc
What is mid-wheel drive?
These impairments result from injury to the cauda equina
What are loss of motor and sensory function to LE's and bladder (also no spinal reflex activity)?
Determining if a quadriplegic pt is ready to sit up is based on these two things
What is respiratory status and cervical stability?
What is an AFO w/ a DF block? (so they don't fall forwards)
These are 3 early detection methods for myelodysplasia
What are: AFP screening test, fetal US, and amniocentesis?
This nerve tells our detrusor muscle to contract and our sphincters to relax so we can pee
What is the pelvic nerve?