Management of Spinal Cord Injuries - Case Study Part 2

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Top Contributors - Naomi O'Reilly and Tarina van der Stockt  

Presenting Condition

For background information go to Management of Spinal Cord Injuries - Case Study Part 1

Day 1 - 2 Hours Post Injury

  • ASIA Assessment - C4 ASIA A
  • No Motor or Sensory Function below Lesion

Day 2 - 28 Hours Post Injury

  • Spinal Fixation at C4 - C8 with Spinal Decompression
  • ASIA Assessment - C4 ASIA A

Day 3 - 72 Hours Post Injury

  • ASIA Assessment - C4 ASIA B 
  • Returned Sensation Right Upper Limb and Trunk but altered
  • No Motor Function below Level

Day 7

  • ASIA Assessment - C5 ASIA B
  • Increased Sensation Right Side below Lesion
  • Increased Motor Function Left Side > Right Side
  • Biceps Grade 3 Bilateral
  • Wrist Extensors Grade 2 Left, Grade 1 Right
  • Elbow Extensors Grade 1 Bilaterally

Day 10

  • Scheduled for Transfer to Spinal Unit for Ongoing Management

Week 5

  • ASIA Assessment - C5 ASIA C
  • Increased Motor Function Left Side below Level
  • Biceps Grade 4 Left, Grade 3 Right
  • Wrist Extensors Grade 2 Left, Grade 1 Right
  • Elbow Extensors Grade 1 Bilaterally

Functional Assessment

Spinal Cord Independence Measure (SCIM). To find out more about completing the SCIM check out this video

Spinal Cord Independence Measure - Part 1
Spinal Cord Independence Measure - Part 2