Levels
Usually has head and neck control and may shrug shoulders.
What activity can be expected at level C4?
OT will assist in positioning to help prevent this.
What is decubitus ulcer?
One side of the cord is damaged.
What is Brown-Sequard Syndrome
"Oh my goodness I feel so dizzy and nauseous."
What is orthostatic hypotension?
This is what the doctor on the rehab team is called.
What is a physiatrist?
At these levels patients are at risk for elbow flexion and supination contractures so forearms should be positioned in pronation.
What is C1-C4?
This grasp is maintained when ranging the fingers with the wrist in flexion.
What is tenodesis?
This is easy to remember because it is a condition that happens in the "tail" end of the cord.
What is Cauda Equina?
Most commonly seen in the hip and knee area but can develop in the elbow and shoulder.
What is heterotropic ossification?
We start to plan for this right at admission.
What is discharge?
At this level normal or near normal standing and ambulation could happen.
What is S1?
This level is recommended to begin lower body dressing at.
What is bed level?
In this syndrome, proprioception is preserved.
What is Anterior Spinal Cord Syndrome?
Involuntary muscle contraction below the level of injury due to disruption in the flow of signals between the spinal cord and the brain.
What is spasticity?
This begins during initial contact and is ongoing throughout all contact with the patient.
What is evaluation?
Preservation of strength or sensation below the neurological level of injury.
What is the Zone of Partial Preservation?
This is how someone with a complete SCI resulting in tetraplegia can be independent with ADL's.
What is directing their own care?
The most common incomplete spinal cord injury.
What is Central Cord Syndrome?
Happens at level T6 and above.
Autonomic Dysreflexia.
These are the key sensory functions to be evaluated.
What are pain, touch, and proprioception?
The level at which the risk for tetraplegia ends and paraplegia begins.
What is T2?
These are three equipment requirements for someone with tetraplegia at level C2.
What are:
1. tilt in space or recliner (ventilator, pressure relief)
2. Pressure-relieving cushion
3. Hoyer lift
Results in the areflexic bladder, bowel, and LE's.Injury to the sacral cord and the lumbar nerve roots.
What is Conus Medullaris Syndrome?
This is a problem with those who have an injury to cervical or high thoracic segments.
What is Vital Capacity?
These are the five body functions and structures to evaluate.
What are:
1. Sensory function
2. neuromusculoskeletal and movement related functions.
3. muscle functions (power, endurance, and tone)
4. movement functions (control of voluntary movement motor skills)
5. mental functions