Study Spinal Cord Injury Flash Cards

 
Pile Management Card
Spinal Cord Injury

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Renal calcui?
KIDNEY STONES

(ASSOCIATED WITH HETEROTROPIC OSSIFICATION
What parts of the body are most commonly involved with heterotropic ossification?
HIPS AND KNEES
Heterotropic ossification?
ABNORMAL BONE GROWTH IN MUSCLE OR OTHER CONNECTIVE TISSUE; CAN RESTRICT ROM AND LEAD TO IMPAIRED FUNCTION.

(Osteogenesis in soft tissues below the level of the lesion)
What happens to a females menstration after a spinal cord injury?
MENSTRATION CEASES FOR UP TO A YEAR POST INJURY, THEN RESUMES NORMALLY
How can someone stimulate an erection in a male SC patient?
BY USING REFLEXOGENIC AND PSYCHOGENIC POSTURES
You will have full innervation of the primary and secondary respiratory muscles if the injury in at or above this area?
LUMBAR LESIONS
You will need a ventilator if you have an injury at this spinal level?
C1-3
C3-5 innervation?
PHRENIC NERVE
How can you assist a patient to empty their bladder with an upper motor neuron lesion?
*MANUAL STIMULATION
*STROKING
*KNEADING
*TAPPING THE SUPRAPUBIC REGION OR THIGH
*LOWER ABOMINAL STROKING
*PINCHING
*HAIR PULLING
Manually compressing the lower abdomen to help empty the bladder?
CREDE MANEUVER
What are sme ways to empty a bladder if a patient has a lower motor neuron lesion?
*VALSAVA MANEUVER
*CREDE MANEUVER
Where is an upper motor neuron lesion located?
T11-12 OR ABOVE
Where is a lower motor neuron lesion located?
T12 OR BELOW
As a PTA how do you react if you suspect autonomic dysreflexia?
*SIT PATIENT UPRGHT
*CHECK CATHETER FOR BLOCKAGE
*CHECK FOR TIGHT CLOTHING
*ABDOMINAL BINDERS
*NOTIFY PT AND NURSING STAT
No cutaneous response to heat or cold is the result of what not functioning propely?
HYPOTHALAMUS
Controls cutaneous blood flow and sweating?
HYPOTHALAMUS
Autonomic dysreflexia occurs at what spinal level?
T6
A mass reflex response resulting in elevation of blood pressure?
AUTONOMIC DYSREFLEXIA
The first sign that spinal shock is resolving?
BULBOCAVERNOUS REFLEX
This is characterized by absense of all reflex activity, flaccidity, and loss of sensation and motor function below the level of the lesion?
SPINAL SHOCK
Immeiately following SCI there is a period of ____________ called ________?
*AREFLEXIA
*SPINAL SHOCK
Incomplete lesion which spares propioception in the rectum?
SACRAL SPARING
Presentation of cauda equina syndrome?
*FLACCID PARALYSIS WITH LOSS OF REFLEX ACTIVITY AND SENSATIONS

*IMPAIRED BOWEL/BLADDER
Where do cauda equina injuries occur?
BELOW L1
True/False

Cauda Equina Syndrme is an upper motor neuron injury?
FALSE

LOWER MOTOR NEURON LESION
Most comonly occurs from hyperextension injuries or degenerative narrowing of the cervical region?
CENTRAL CORD SYNDROME
Frequently related to flexion injuries of the cervical region with resultant damage to the anterior portion of the cord and/or it's vascular supply from the anterior spinal artery?
ANTERIOR CORD SYNDROME
What SC injury has an UE loss greater than a LE loss?
CENTRAL CORD SYNDROME
What is generally preserved with anterior cord syndrome?
PROPIOCEPTION, KINESTHEIA, AND VIBRATORY SENSE ARE GENERALLY PRESERVED B/C THEY ARE MEDIATED BY THE POSTERIOR COLUMNS WITH A SEPERATE VASCULAR SUPPLY FROM THE POSTERIOR SPINAL ARTERY (POSTERIOR COLUMNS)
What tract is affected due to loss of motor function?
CORTICOSPINAL TRACT
Brown Sequard Syndrome (opposite side of lesion) symptoms?
*LOSS OF PAIN AND TEMP SENSATION
(SPINOTHALAMIC TRACT)
Brown Sequard Syndrome (same side of lesion) SYMPTOMS?
*PARALYSIS
*CLONUS
*+BABINSKI SIGN
*LOSS OF VIBRATORY AND POSITION SENSE
*(CORTICOSPINAL TRACT/DORSAL COLUMN)
This tract conveys pain and temp?
SPINOTHALAMIC TRACT
Brown-Sequard Syndrome?
HEMITRANSECTION OF CORD (DAMAGE TO ONE SIDE)
S4-S5?
ANAL SENSATION AND VOLUNTARY EXTERNAL ANAL SPHINCTER CONTRACTION.
Complete spinal cord injury?
DEFINED AS MOTOR AND OR SENSORY FUNCTION BELOW THE NEUROLOGICAL LEVEL, AND NO MOTOR OR SENSORY FUNCTION IN S4-S5?
This kind of spinal cord injury is rare?
COMPLETE SC INJURY
S1?
*PF
*HIP EXTENSORS
L5?
*ANKLE DF
*HAMSTRINGS
L3?
QUADRICEPS
L2?
*HIP FLEXORS
*QUADRATUS LUMBORUM
T2-L1?
*TRUNK FLEXORS, EXTENSORS, INTERCOSTAL
T1?
*INTRINSICS OF HAND
C8?
*FINGER FLEXORS
C7?
TRICEPS
C6?
*WRIST EXTENSORS (RADIAL)
C5?
*BICEPS
*DIAPHRAGM
*DELTOID
C4?
*DIAPHRAGM (PARTIAL)
*SCM
*UPPER TRAPS
C1-3?
*SCALENES
*PARTIAL SCM
*TRAPS
This type of plegia will have injury to the respiratory muscles?
TETRAPLEGIA
Paralysis of all or part of the trunk and both LE's; leision of the thoracic or lumbar cord or cauda equina?
Paraplegia
Tetraplegia?
Paralysis of all 4 extremities and trunk, including respiratory muscles; injury to cervial cord?
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