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Spinal Cord Injury

STUDY
PLAY
Diaphragm
C4
Deltoid, biceps; universal cuff; long opponens splint
C5
Wrist extensors, tenodesis grasp;button hook; independent driving from w/c
C6
Triceps
C7
Hand intrinsics
C8
Bowel, bladder
S2-5
Central cord syndrome
UEs more involved; cervical hyperextension could be the cause
Brown-Sequard Syndrome
Motor paralysis, loss of proprioception - ipsilateral; loss of pain, temperature and touch - contralateral
Anterior Cord Syndrome
Paralysis and loss of pain, temperature and touch. Proprioception preserved
Cauda Equina
peripheral nerves involved; below L2; flaccid paralysis;
Conus medilaris
areflexic bowel and bladder
Autonomic dysreflexia
T4-T6 and above; pounding headache, anxiety, perspiration, flushing, chills, bradycardia
Nipple line sensation
T4
Thumb, index finger
C6
Middle finger sensation
C7
Axilla
T2
Umbilicus
T10
Total assist with bowel/bladder
C5 and above
Leg bag emptying may be independent; total assist for bowel
C6
Independent with bowel and bladder program
T1 and below
Independent with power w/c
C4 and above (sip and puff)
Independent with manual w/c indoors
C6
Standing frame
T1 and below; hydraulic standing frame for levels above