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70 Cards in this Set

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Where does the spinal cord run from and to?

Medulla to conus medullaris all the way down to L1 and L2 intervertebral space.

It exits as spinal nerves in how many pairs?

31 pairs

What nerves of the spinal cord exist above the vertebrae?

C1 to C7

Where does c8 exit?

Below c7

What spinal nerves exist below the vertebrae?

T1 onwards

What is the horse tail?

Cauda equine

What is the cauda equina

Long spinal nerve roots that connect L1 segments and below to the periphery.

How many arteries does the spine have?

3

What does the anterior spinal artery supply?

Anterior or central 2/3 of spinal cord

What do the two paired posterior arteries of the spine supply?

DCML and Peripheries of Spinal cord

What 2 types of axons are found at each level of the spine?

Sensory and Motor

What will damage at a level of the spinal cord cause?

Effected sensation and movement in a specific region.

C3, C4, C5?

Diaphragm

C5?

Elbow Flexors

C6

Wrist extensors

C7?

Elbow extensors

C8

Finger flexors

T1?

Finger abductors

L2

Hip flexors

L3

Knee extensors

L4?

Ankle dorsiflexors

L5?

Long toe extensors

S1

Ankle plantar flexors

What is a dermatome?

Area of skin supplied by sensory branches from one spinal segment. Or on one side of a single spinal nerve.

What is a myotome?

A part of skeletal muscle supplied by a single spinal cord segment. Or on o es side by a single spinal nerve.

What happens if there is damage at a spinal level and corresponding spinal nerve?

It will affect sensation and movement in a specific region of the body. (L or R) or (both)

How are each segments of the spinal cord connected?

Via sensory and motor axons to a specific part of the body

What are muscles innervated by?

Peripheral nerves from 2 or more spinal segments (but does come from a main level)

Injury to the cervical region results in what?

Tetraplegia or Quadraplegia

What is tetraplegia or quadraplegia?

Use of all 4 limbs affected.

Injury to the thoracic, lumbar or sacral region results in what?

Paraplegia

What is paraplegia?

Use of legs affected

What classifies as a complete spinal cord injury (SCI)?

No evidence of sensory or motor function below the level of lesion.

What classifies as an incomplete spinal cord injury (SCI)?

Some evidence of sensory or motor function below the level of lesion

What is white matter made of?

Myalinated nerve fibers or axons

What sites are gray matter involved in?

Site of connections and site of reflexes

Neuron-neuron, interneurons

Site of connections

Gray matter

Monosynaptic stretch reflex with reciprocal inhibition

Site of reflexes

Dorsal Column Medial Lemniscus (Ascending or descending)

Ascending

Gracile fasciculus (Ascending or descending)

Ascending

Cuneate fasciculus (Ascending or descending)

Ascending

Posterior and anterior spinocerebellar tract (Ascending or descending)

Ascending

What tracts are involved in fractionation of movement and Upper limb flexors?

Lateral coticospinal and rubrospinal

What tracts are involved with neck/ upper back movement, gross limb movement and postural control?

Medial corticospinal, reticulospinal and vestibulospinal

Muscles c1, c2, c3?

Head and neck

Muscles c4

Diaphragm

Muscles c5

Deltoids and biceps

Muscles C6?

Wrist extensors

Muscles C7

Triceps

Muscles C8

Hand

Muscles T1-T6

Chest muscles

Muscles t7-t12

Abdominals

Muscles L1-L5

Legs

What is the Dorsal Column Medial Lemniscus for?

Conscious discriminative touch, proprioception from fasciculus cuneatus and fasciculus gracilis

What is the laterally located fasciculus cuneatus for?

Upper trunk and arms

What is the medially located fasciculus gracilis for?

Leg and lower trunk

What is the lateral spinothalamic tract for?

Conscious pain and temp (somatotopically organised)

What is the spinocerebellar for?

Subconscious proprioception

What is the Lateral corticospinals function?

Contralateral fractionation of movement (mostly hand) - somatotopically organised

What is the anterior corticospinal for?

Ipsilateral control of neck, shoulder and trunk muscles

What is the role of the vestibulospinal and reticulospinal?

Postural control and gross movement

Health conditions of complete lesions of spinal cord injury?

Space occupying lesion


Infection


Degeneration


Trauma


Vascular

SID TV

Effect of complete spinal lesions of DCML

Loss of conscious touch, pressure, proprioception bilaterally at level of lesion and below

Effect of complete spinal lesions of Lateral Spinothalamic

Loss of conscious pain and temp bilaterally at the level of lesion and below

Effect of complete spinal lesions of Lateral Corticospinal

Loss of voluntary motor function bilaterally at level of lesion and below

Effects of Incomplete lesions of spinal cord for the Anterior cord?

Loss of voluntary and subconscious movement


Sparing of conscious sensation

Effects of Incomplete lesions of spinal cord for the central cord

Loss of upper limb movement and some sensation

Effects of Incomplete lesions of spinal cord for the Brown Sequard?

Ipsilateral loss of strength and proprioception.


Contralateral loss of pain/temp

Effects of Incomplete lesions of spinal cord for the Posterior Columns?

Loss of conscious touch, pressure, vibration and proprioception.

Effects of Incomplete lesions of spinal cord for the Cauda Equina?

Loss of sensation, movement (PNS) spinal nerve damage.