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23 Cards in this Set
- Front
- Back
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Injury to these areas results in flaccid paralysis of lower limbs and flaccid bladder & bowel
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Conus Medullaris Syndrome &
Cauda Equina Syndrome – |
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is when the damage is towards the back of the spinal cord. This type of injury may leave the person with good muscle power, pain and temperature sensation, however they may experience difficulty in coordinating movement of their limbs.
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Posterior Cord Syndrome-
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loss of proprioception: The unconscious perception of movement and spatial orientation arising from stimuli within the body itself.
Pain, temperature sensation, motor function below lesion remain intact |
Posterior Cord Syndrome-
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results from compression or damage to posterior spinal artery
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Posterior Cord Syndrome-
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s when damage is towards one side of the spinal cord. This results in impaired or loss of movement to the injured side, but pain and temperature sensation may be preserved. The opposite side of injury will have normal movement, but pain and temperature sensation will be impaired or lost.
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Brown-Séquard syndrome:
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loss of pain/temperature sensation below the level of the lesion contralateral side (opposite side)
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Brown-Séquard syndrome
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loss of motor function and position, vibratory sense, vasomotor paralysis on ipsilateral (side same side as lesion)
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Brown-Séquard syndrome
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is when the damage is towards the front of the spinal cord, this can leave a person with the loss or impaired ability to sense pain, temperature and touch sensations below their level of injury. Pressure and joint sensation may be preserved. It is possible for some people with this injury to later recover some movement.
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Anterior Cord Syndrome-
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motor paralysis & loss of pain/temperature sensation below level of injury;
sensations of touch, position, vibration, motion remain intact |
Anterior Cord Syndrome-
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caused by damage to the ant. spinal artery by stopping blood flow to and spinal cord. (acute compression flexion injury)
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Anterior Cord Syndrome-
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is when the damage is in the centre of the spinal cord. This typically results in the loss of function in the arms, but some leg movement may be preserved. There may also be some control over the bowel and bladder preserved. It is possible for some recovery from this type of injury, usually starting in the legs, gradually progressing upwards.
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Central Cord Syndrome
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occurs in cervical cord region,
motor weakness & sensory loss in BOTH upper and lower extremities |
Central Cord Syndrome
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Hypotension
Bradycardia Warm dry extremities Peripheral vasodilatation Venous pooling _low bp, hi pulse Decreased cardiac output |
neurogenic shock
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Entire cord BELOW level of injury fails to function
decreased reflexes/flaccid paralysis, Lasts 7-10 days …. can last from weeks to months! Complete loss of motor and sensory function BELOW musculoskeletal, bowel, bladder, |
spinal shock
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often fatal, vagus nerve domination of heart, kungs, blood vessels and all organs below injury, absence of indepent resp function,
24 hr care, wheelchair, uses mouth |
INJURY AT C1-C3
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vagus nerve domination of heart, lungs, blood vessels and all organs below injury, absence of indepent resp function,
24 hr care, wheelchair, uses mouth |
C4
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vagus nerve domination of heart, kungs, blood vessels and all organs below injury,
full neck motion, partial shlder, back, biceps, gross elbow, inabilirty to roll over or use hands, decreased resp reserve. drive wheelchair with mobile hand supports, able to feed self, 10 hr care/day |
C5
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vagus nerve domination of heart, lungs, blood vessels and all organs below injury
shlder upper back abduction full biceps to elbow flexion weak gasp of thumb ability ot assist with transfer, some self care, push wheelchair drive van, 6hr/day care |
C6
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vagus nerve domination of heart, lungs, blood vessels and all organs below injury
GOOD grasp, with decreased strenghtalmost independent |
C7-8
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sympathetic innervation to heart, vagus nerve domination of all vessels and organ below injury
full fuction of upper extremities decreased trunk stability, decreased reps reserve fully independent |
T1-T6
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vagus nerve domination only of leg vessels,
GI and genitol organs full stable thoracic muscles and upper back gait difficulty results in INCREASED resp reserve! |
T6-T12
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vagus nefve domination of leg vessels
varying controls of legs and pelvis, instability of lower back good sitting, full use of wheechair ambulation with long leg braces |
L1-L2
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partial vagus nerve domination of leg vessels, GI nad genitourinary organs
absence of hamstring function, flail ankles completely independent ambulation with short leg braces and canes, inability to stand for long periods |
L3-L4
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