Management of Spinal Cord Injuries - Case Study Part 2: Difference between revisions

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=== Day 3 - 72 Hours Post Injury ===
=== Day 3 - 72 Hours Post Injury ===
*ASIA Assessment - C4 ASIA B   
*ASIA Assessment - C4 ASIA B   
*Returned Sensation Right Upper Limb and Trunk but altered
*Some Returned Sensation Lower Limb but Altered
*No Motor Function below Level
*Minimal Motor Function below Level
*Elbow Flexors Grade 1 Right


=== Day 7 ===
=== Day 7 ===
*ASIA Assessment - C5 ASIA B  
*ASIA Assessment - C5 ASIA B  
*Increased Sensation Right Side below Lesion  
*Increased Sensation S2 - S5 below Lesion
*Increased Motor Function Left Side > Right Side
*Increased Motor Function Bilaterally
*Biceps Grade 3 Bilateral
*Elbow Flexors Grade 2 Right, Grade 1 Left
*Wrist Extensors Grade 2 Left, Grade 1 Right
*Wrist Extensors Grade 1 Right, Grade 1 Left  
*Elbow Extensors Grade 1 Bilaterally
*Long Toe Extensors Grade 1 Left


=== Day 10 ===
=== Day 10 ===
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=== Week 5 ===
=== Week 5 ===
*ASIA Assessment - C5 ASIA C  
*ASIA Assessment - C5 ASIA C  
*Increased Motor Function Left Side below Level
[[File:C5 ASIA C.png|center|thumb|900x900px|Classification of Spinal Cord Injury Week 5]]
*Biceps Grade 4 Left, Grade 3 Right
*Wrist Extensors Grade 2 Left, Grade 1 Right
*Elbow Extensors Grade 1 Bilaterally
*Hip Flexors Grade 1 Left
*Knee Extensors Grade 2 Left Grade 1 Right
*Ankle Dorsiflexors Grade 2 Left Grade 1 Right
*Long Toe Extensors Grade 2 Left Grade 1 Right


== Functional Assessment  ==
== Functional Assessment  ==

Revision as of 00:35, 28 May 2019

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Naomi O'Reilly, Kim Jackson, Tarina van der Stockt, Tony Lowe, Rucha Gadgil and Jess Bell  

Presenting Condition[edit | edit source]

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

Day 1 - 2 Hours Post Injury[edit | edit source]

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

Day 2 - 28 Hours Post Injury[edit | edit source]

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

Day 3 - 72 Hours Post Injury[edit | edit source]

  • ASIA Assessment - C4 ASIA B 
  • Some Returned Sensation Lower Limb but Altered
  • Minimal Motor Function below Level
  • Elbow Flexors Grade 1 Right

Day 7[edit | edit source]

  • ASIA Assessment - C5 ASIA B
  • Increased Sensation S2 - S5 below Lesion
  • Increased Motor Function Bilaterally
  • Elbow Flexors Grade 2 Right, Grade 1 Left
  • Wrist Extensors Grade 1 Right, Grade 1 Left

Day 10[edit | edit source]

  • Scheduled for Transfer to Spinal Unit for Ongoing Management

Week 5[edit | edit source]

  • ASIA Assessment - C5 ASIA C
Classification of Spinal Cord Injury Week 5

Functional Assessment[edit | edit source]

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