1what is the most common MOI for lumbar injury
flexion
2what is the most common MOI for cervical injury
flexion-rotation
3what are the most common levels of SCIs
C5, C7, T12, L1
4how is C4-C5 most commonly injured?
extension
5how is C5-C6 most commonly injured?
C5-C6
6what levels - tetraplegia
between C1 and C8
7what levels are paraplegia
between T1 and T12-L2
8complete injury =
no sesnory or motor below lesion
9incomplete injury =
sesnory or motor below lesion
10ASIA A
complete.No sensory or motor funciton preserved in sacral segments S4-5
11complete.No sensory or motor funciton preserved in sacral segments S4-5
ASIA A
12ASIA B
sensory incomplete - sensory preserved below level (S4-5) AND no motor funciton more than 3 levels below
13sensory incomplete - sensory preserved below level (S4-5) AND no motor funciton more than 3 levels below
ASIA B
14ASIA C
motor incomplete - motor preserved fo vol anal contraction OR pt meets "sesnory incomplete" status and has motor funciton more than 3 levels below. Less than 1/2 key mm have greater or equal to 3 mmT
15motor incomplete - motor preserved fo vol anal contraction OR pt meets "sesnory incomplete" status and has motor funciton more than 3 levels below. Less than 1/2 key mm have greater or equal to 3 mmT
ASIA C
16ASIA D
motor incomplete - same as ASIA C (motor preserved fo vol anal contraction OR pt meets "sesnory incomplete" status and has motor funciton more than 3 levels below.) BUT 1.2 or more key mm have greater than or equal to 3 MMT
17motor incomplete - same as ASIA C (motor preserved fo vol anal contraction OR pt meets "sesnory incomplete" status and has motor funciton more than 3 levels below.) BUT 1.2 or more key mm have greater than or equal to 3 MMT
ASIA D
19what SCI syndrome:
cervical flexion MOI
loss of pain and tmeprature below lesion
preservation of light touch, prop and position sense
anterior cord syndrome
20anterior cord syndrome
cervical flexion MOI
loss of pain and tmeprature below lesion
preservation of light touch, prop and position sense
INCOMPLETE
21what is lost and what is preserved in anterior cord syndrome
lost - pain, temp
preserved: light touch, prop and position sense
22what tracts are damaged in anterior cord syndrome
damaged: corticospinal and spinothalamic
23what SCI syndrome:
Stab wound MOI
same side - loss of vibration and position sense with parlysis
opposite side - loss of pain and temp
browns sequards
24browns sequard clinical presentation
same side - loss of vibration and position sense with parlysis
opposite side - loss of pain and temp
25what elvel is cauda equina below
L1
26what is more involved in central cord syndrome??
UE or LE
motor or sensory
UE > LE
motor > sensory
27what tracts are damaged in central cord syndrome
spinothalamic, corticospinal and dorsal colums
28C1 - C4 w/c
electric with tilt in space
microswitch or puff and sip
29C5 W/c
SH function, elbow flexion
manual chair with propulsion aids
indepent. on flat short distances
may use power for community
30C6 w/c
raidal wrist extnesors
manual chair with friction surface hand rims
independent
31C7 w/c
tricpes
manual chair with friction surface hand rims
independent
more propulsion than C6
32C8-T1 and below w/c
hand function
manual w/x
standard hand rims
33***w/c for complete SCIs
kk
34what level can ambualte with AFOs instead of KAFOs
L4-L5
35what ASIA levels for treadmill training with body supprot
B C or D
36what is the heighest level where patients are (I) with level transfers?
C7-8
37what is the heighest level where ambulation with AFOs can occur?
L4
38what does somatic nerves carry
sensory and voluntary motor signlas
39what do autnomic nerves do
relay messages to involuntarty systems
40what do AFFERENT nerves do
carry messages TO the brain
41what do EFFERENT nerves do
carry messages FROM the brain
42what is the main motor tract
corticospinal
43is corticospinal tract ipsilateral or contralateral
contralateral
44what does DCML carry
vibratory, deep touch, 2 point discrimination, jt positions, kight touch, pressure on contralateral side
45is dcml ipsilat or contralat
contralat
46what tract: vibratory, deep touch, 2 point discrimination, jt positions, kight touch, pressure on contralateral side
DCML
47what side does injury to DCML
ipsilat
48what does the spinothalamic tract
pain and temp
49what does disruption of spinothalamic tracts cause?
CONTRALATERAL LOSS OF P! AND TEMP
50what level and above is most likely to have auto-dys?
T6