Sci

Front 1

ASIA Impairment Scale

Back 1

American Spinal Injury Association

Front 2

ASIA A

Back 2

Complete SCI

Lack of motor and sensory function below level of injury, including anal/sacral area

Front 3

ASIA B

Back 3

Sensory Incomplete: Some sensory function preserved below the neurologic level

Extends through sacral segments

Front 4

ASIA C

Back 4

Motor Incomplete: Some motor function preserved below neurologic level

Most key muscles (50%) cannot move against gravity

Front 5

ASIA D

Back 5

Motor Incomplete: Some motor function preserved below neurologic level

Most key muscles (50%) have a muscle grade greater/equal to 3/5 MMT.

Front 6

ASIA E

Back 6

Normal

Sensory and Motor functions are normal.

Front 7

C5 Motor

Back 7

Biceps, Brachialis

(Elbow Flexion)

Front 8

C6 Motor

Back 8

Wrist Extension

Front 9

C7 Motor

Back 9

Triceps

(Elbow Extension)

Front 10

C8 Motor

Back 10

FDP Middle Finger

(Finger Flexors)

Front 11

T1 Motor

Back 11

Little Finger AB

(AB Digiti Minimi)

Front 12

L2 Motor

Back 12

Hip Flexors

(Iliopsoas)

Front 13

L3 Motor

Back 13

Knee Extension

(Quadriceps)

Front 14

L4 Motor

Back 14

DF

(Anterior Tib)

Front 15

L5 Motor

Back 15

Great Toe Extension

Front 16

S1 Motor

Back 16

PF (Gastro-Soleus)

Front 17

C2 Sensory

Back 17

Occipital Protuberance

Front 18

C3 Sensory

Back 18

Supraclavicular Fossa

Front 19

C4 Sensory

Back 19

AC joint

Front 20

C5 Sensory

Back 20

Lateral Antecubital Fossa

Front 21

C6 Sensory

Back 21

Thumb

Front 22

C7 Sensory

Back 22

Middle Finger

Front 23

C8 Sensory

Back 23

Little Finger

Front 24

T1 Sensory

Back 24

Medial Antecubital Fossa

Front 25

T2 Sensory

Back 25

Axilla Apex

Front 26

T4 Sensory

Back 26

Nipple Line

Front 27

T6 Sensory

Back 27

Xiphoid Process

Front 28

T10 Sensory

Back 28

Umbilicus

Front 29

T12 Sensory

Back 29

Midpoint of Inguinal Ligament

Front 30

L2 Sensory

Back 30

Mid-anterior Thigh

Front 31

L3 Sensory

Back 31

Medial Femoral Condyle

Front 32

L4 Sensory

Back 32

Medial Malleolus

Front 33

L5 Sensory

Back 33

Dorsal 3rd MTP joint

Front 34

S1 Sensory

Back 34

Lateral Heel

Front 35

S2 Sensory

Back 35

Popliteal Fossa

Front 36

S3 Sensory

Back 36

Ischial Tuberosity

Front 37

S4-5

Back 37

Perianal Area

Front 38

Anterior Cord Syndrome

Back 38

Compression/damage to anterior spinal cord and anterior spinal artery -- Cervical Flexion

Loss of Motor Function and Pain/Temperature senses (Corticospinal and Spinothalamic Tracts)

Front 39

Brown-Sequard's Syndrome

Back 39

Stab Wound produces Hemisection of SC

Ipsilateral: Paralysis, loss of vibratory sense and position sense (Corticospinal Tract and Dorsal Columns)

Contralateral: Loss of pain and temperature (Lateral Spinothalamic Tract)

Front 40

Cauda Equina Injury

Back 40

Below L1 spinal level--Long roots transected

Incomplete due to large # of roots in area

Peripheral nerve injury, but recovery not typical

Flaccidity, Areflexia, and Bowel & Bladder impaired

Front 41

Central Cord Syndrome

Back 41

Compression and damage of central portion (Spinothalamic tract, Corticospinal tract, and Dorsal Columns)

Cervical hyperextion

UE involvement > LE

Motor Deficits > Sensory

Front 42

Posterior Cord Syndrome

Back 42

Rare

Compression of Posterior Spinal Artery

Loss of proprioception, 2-point discrimination, and sterognosis (motor function preserved)

Front 43

Head-Hips Relationship

Back 43

Principle of mechanics used during mobility training with UE weight bearing used as a fulcrum.

HEAD moves in OPPOSITE direction of HIPS!

Front 44

Myelotomy

Back 44

Procedure that severs certain tracts within the SC in order to decrease spasticity and improve function.

Front 45

Neurectomy

Back 45

Removal of segment of a nerve in order to decrease spasticity and improve function

Front 46

Neurogenic Bladder

Back 46

Bladder empties reflexively for a patient with an injury above the level of S2. The sacral reflex arc remains intact.

Front 47

Neurological Level

Back 47

Lowest Caudal Segment of the SC with intact Strength and Sensation. Muscle groups at this level must receive a grade of Fair.

Front 48

Nonreflexive Bladder

Back 48

Bladder is flaccid as a result of a cauda equine or conus medullaris lesion. Sacral reflex arc is damaged.

Front 49

Paradoxical Breathing

Back 49

Abnormal breathing common in Tetraplegia

Chest pulled inward during inhalation.

Chest expands during exhalation.

Opposite motions of chest during breathing.

Front 50

Paraplegia

Back 50

Injuries at the thoracic, lumbar, or sacral spine

Front 51

Rhoizotomy

Back 51

Surgical resection of sensory component of a spinal nerve in order to decrease spasticity and improve function.

Front 52

Sacral Sparing

Back 52

Incomplete lesion--some of the most inner tracts remain innervated.

Sensation of saddle area, movement of toe flexors, and rectal sphincter contraction.

Front 53

Spinal Shock

Back 53

Physiological Response--total flaccid paralysis and loss of all reflexes below the level of injury.

30-60 minutes after the trauma that can last up to several weeks.

Front 54

Tenodesis

Back 54

Utilization of tight finger flexors in combination with wrist extension to produce a form of grasp

Pt's with tetraplegia that have injury C7 or above (C8-finger flexors)

Front 55

Tenotomy

Back 55

Surgical release of a tendon in order to decrease spasticity and improve function

Front 56

Tetraplegia

Back 56

ASIA term to describe injuries that occur at the level of the cervical spine

Front 57

Zone of Preservation

Back 57

Poor or trace motor or sensory function for up to 3 levels below the neurological level of injury.

Front 58

Autonomic Dysreflexia

Back 58

**Medical Emergency**

At or Above T6

Sx: High BP, HA, Blurred Vision, Stuffy Nose, Profuse Sweating, Goose Bumps below lesion, Flushing Above lesion

Check catheter or for bowel obstruction

Observe for irritating stimuli

KEEP in SITTING (do not lay them down)