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Spine and Spinal Chord Injuries
Terms in this set (23)
Spinal nerves originating in lower cervical spine & upper thoracic spine are responsible for?
Innervating the hands
Spinal nerves originating in the lower lumbar spine and sacrum are responsible for?
Innervating the feet
Large movement of fractured vertebrae can...
Cause permanent damage to the spinal cord and spinal nerves
VOLUNTARY patient movement of someone with a fractured spine is
Not dangerous and won's cause cord damage
What is the spinal cord protected by?
3 stuff sacks-
The dura mater
the arachnoid membrane
the pia meter
Where does cerebral spinal fluid circulate?
Between the outside of the cord and the spinal column
Through the center of the cord via the central canal
What do sensory tracts on the sides and front of the cord do?
Carry incoming signals for pin-prick pain, temperature, deep pressure, and coarse touch
What do sensory tracts on the back of the cord do?
Carry incoming signals for light touch and joint proprioception
What do motor tracts on the side and front of the cord do?
Carry out-going commands to their respective muscles.
What can a patient do if all sensory tracts are in tact?
Distinguish between a light touch and pin-prick
Reliable patient is/has:
no distracting pain
Focused Spine Assessment (FSA)-if patient reliable
No spine pain
Run fingers along the center of the patient's spine from the bas of their skull to their sacrum.
1 ?Ask if they can feel your fingers on their spine.?
No=failed this part of exam
2 ?Ask if their back hurts anywhere your fingers have touched.?
yes=fail this portion of exam and may have fractures one or more vertebrae (imaging needed to confirm
No midline spine tenderness
Put patient in a spine-immobile position (sitting standing or on side)
Begin at the top or bottom of patients spine and gently press on each spinous process.
Skin to skin-mark progress as you go
With press ASK ?Does this hurt?
No= no fractures
yes= fail this portion may have fractured one or more vertebrae (need imaging to confirm)
Normal Motor Exams in both hands and feet
Patient resists as you squeeze fingers together
Patient resists as you apply downward pressure on fingers while holding wrist
Patient pushes down with foot against you hand/fingers & patient pulls up against hand/fingers
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