C5 is the most common level of tetraplegia
T12 is the most common level of paraplegia
Incomplete Paraplegia is the most common injury
Most common cause of SCI is MVA
Most common age at injury is 19 years old
Can only occur in incomplete injuries.
Can only occur in complete injuries and can include motor or sensory to lowest sacral segments.
Can only occur in complete injuries, S4-5 absent motor and sensory.
UMN signs at and below level of lesion
LMN at level, UMN below
UMN at level, LMN below
LMN signs at and below level of lesion
Loss of motor below level
Loss of proprioception/vibration
Loss of pain and temp
Asymmetric injury with ipsilateral loss of motor function and sensation and contralateral loss of pain and temperature.
Symmetrical injury with loss of motor function bilaterally.
Asymmetric injury with ipsilateral loss of pain and temperature and contralateral loss of motor funtion and sensation.
Loss of awareness, but preserved motor, pain, temperature, and light tought.
Occurs in Lesions T5(6) and below
Acute onset of autonomic activity from noxious stimuli above lesion level
Can occur in complete and incomplete injuries
Severe, pounding headache
Profuse sweating/flushing above lesion level
Noxious cutaneous stimuli (i.e. ingrown toenail)
Lie patient supine, search for a cause, and notify MD.
Position patient upright, searh for a cause and correct if possible, notify MD
Do nothing but notify MD and let them deal with it
Return of DTRs is first sign
Return of bulbocavernosus reflex
Return of motor function below lesion level
Mediated by S1-3
Is only present during spinal shock
Would never be checked by physical therapist
Elicited by pressure on anal sphincter
Is negative if contraction of anal sphincter occurs
Deep anal sensation (S4-5)
Using UE as a hook.
Keeping long finger flexors tight for tenodesis.
Head hips relationship.
All of the above.
Shoulder flexion, IR, and wrist extension.
Shoulder extension, full ER, wrist extension, finger flexion.
Shoulder abduction, full ER, wrist and finger flexion
Must be 3 or above
Rostral segment must be normal (5)
There may be a different motor level on each side of the body
Must be 3 or below
The most caudal segment of the spinal cord where either sensory or motor is present.
The most caudal segment of the spinal cord with normal motor and sensory bilaterally.
The most caudal segment of the spinal cord where motor function is normal bilaterally.
Must immediately establish OOB and turning schedule
Weight shifts every 2 hours
Turning in bed every 2 hours
Use pressure reducing cushions
Get patient in prone and multiple positions