Test 4 Spinal Cord Injuries

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Created by:

candacecaw  on April 6, 2009

Subjects:

Occupational therapy

Classes:

OT grads

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Test 4 Spinal Cord Injuries

Tetraplegia is perfered name for:
Quadriplegia
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Tetraplegia is perfered name for: Quadriplegia
Number SPI a year 10,000
22% falls/hit by object
43% MVA (Motor Vehicle Accidents)
11% sports
19% Violence
Course of injury 1 Spinal shock-
Course of injury 2 Return with normal musculature above injury, absence of reflexes at injury level, and hypertonicity below injury
Course of injury 3 stabilization of spin
What is spinal shock reflexia below level of injury
Tetraplegia cerviccal lesion
Paraplegia Thoracic or below (50%)
Complete lesion no sensation or motor control
Incomplete variable based on dermatones and musculature
ASIA (American Spinal Cord Injury Association) classifies SCI as A-E
A Complete
B Sensation intact, motor loss
C Some motor function is spared
D Motor function is spared
E Motor and sensation is intact
Types of SCI Central Cord Syndrome, Brown-Sequard Syndrome, Anterior Cord, Cauda Equina Syndrome
Central Cord Syndrome more problems in UE
Brown-Sequard Syndrome Hemisection of cord. ispilateral proprioception and motor dysfunction. Contral lateral pain and temp loss
Anterior Cord intact proprioception
Cauda Equina Syndrome Lower Motor syndrome
Related problems to SCI Respiration, Autonomic dysreflexia, orthostatic hypotension, pressure sores, bowel/bladder dysfunction, temperature regulation, spasticiy, deep vein thrombosis, heterotopic ossification
Assesment for SCI Occupation history, MMT, Sensation, ADL/IADL
Treatment education, tendesis, ADL, Sexuality, base treatment on levels, enviromental controls, Mobile arm supports
TBI High corretlation between SCI and head injury (50%)

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