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

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'''Original Editor '''- Your name will be added here if you created the original content for this page.
'''Original Editor '''- [[User:Naomi O'Reilly|Naomi O'Reilly]]


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp;   
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp;   
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== Presenting Condition  ==
== Presenting Condition  ==
For background information go to [[Management of Spinal Cord Injuries - Case Study Part 1]]


'''Day 1&nbsp;2 Hours Post Injury '''
=== Day 1&nbsp;- 2 Hours Post Injury ===
 
ASIA Assessment - C4 ASIA A
*Assessment - C4 ASIA A  
*No Motor or Sensory Function below Lesion
*No Motor or Sensory Function below Lesion


'''Day 3&nbsp;72 Hours Post Injury '''
=== Day 2 - 28 Hours Post Injury ===
ASIA Assessment - C4 ASIA A
* Spinal Fixation at C4 - C8 with Spinal Decompression


*Assessment - C4 ASIA B&nbsp;  
=== Day 3&nbsp;- 72 Hours Post Injury ===
*Returned Sensation Right Upper Limb and Trunk but altered
ASIA Assessment - C4 ASIA B&nbsp;
*No Motor Function below Level
*Some Returned Sensation but Altered
**S4/5 Grade 1 Bilaterally
*Minimal Motor Function below Level
**Elbow Flexors Grade 1 Right


'''Day 7'''
=== Day 7 ===
 
ASIA Assessment - C5 ASIA B
*Assessment - C5 ASIA B  
*Increased Sensation below Lesion
*Increased Sensation Right Side below Lesion  
**S2 Grade 1 
*Increased Motor Function Left Side &gt; Right Side
**S3 Grade 1 
*Biceps Grade 3 Bilateral<br>
**S4-S5 Grade 1 
*Wrist Extensors Grade 2 Left, Grade 1 Right
*Increased Motor Function Bilaterally
*Elbow Extensors Grade 1 Bilaterally
**Elbow Flexors Grade 2 Right, Grade 1 Left
 
**Wrist Extensors Grade 1 Right, Grade 1 Left
'''Day 10'''


=== Day 10 ===
*Scheduled for Transfer to Spinal Unit for Ongoing Management
*Scheduled for Transfer to Spinal Unit for Ongoing Management


'''Week 5'''
=== Week 5 ===
ASIA&nbsp;Assessment&nbsp;- C5 ASIA C[[File:C5 ASIA C.png|center|thumb|900x900px|Classification of Spinal Cord Injury Week 5]]


*5 Weeks on Halo Traction with Oscillating Bed - Being transferred&nbsp;to Halo Brace to allow for Sitting out of Bed &amp; Initiation of Rehab
== Functional Assessment   ==
*5 Weeks Splinting &amp; Passive ROM Upper Limbs<br>
*ASIA&nbsp;Assessment&nbsp;<br>C5 ASIA C -&nbsp;Increased Motor Function Left Side below Level


== Functional Assessment  ==
[[Spinal Cord Independence Measure (SCIM)]]. To find out more about completing the SCIM check out this [http://www.screencast.com/t/yvjE0EJkiHA video]
[[File:Management_of_SCI_Course_-_Case_Study_SCIM.jpg|1272x1272px|thumb|center|Spinal Cord Independence Measure - Part 1]]
[[File:Management of SCI Course - Case Study SCIM 2.jpg|thumb|1272x1272px|center|Spinal Cord Independence Measure - Part 2]]


[http://www.screencast.com/t/yvjE0EJkiHA Spinal Cord Independence Measure (SCIM) <br>To find out more about completing the SCIM check out this video]  
[[Category:Spinal_Cord_Injuries]]
[[Category:SCI_Content_Project]]


{| width="95%" border="1" cellpadding="1" cellspacing="1"
<div class="pp-no-course-suggestions pp-no-article-suggestions"></div>
|-
[[Category:Case Studies]]
| [[Image:SCIM 1.jpg]]  
[[Category:Spinal Cord Injury Case Studies]]
| [[Image:SCIM 2.jpg]]
|}

Latest revision as of 04:00, 14 June 2022

Original Editor - Naomi O'Reilly

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]

ASIA Assessment - C4 ASIA A

  • Spinal Fixation at C4 - C8 with Spinal Decompression

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

ASIA Assessment - C4 ASIA B 

  • Some Returned Sensation but Altered
    • S4/5 Grade 1 Bilaterally
  • Minimal Motor Function below Level
    • Elbow Flexors Grade 1 Right

Day 7[edit | edit source]

ASIA Assessment - C5 ASIA B

  • Increased Sensation below Lesion
    • S2 Grade 1
    • S3 Grade 1
    • S4-S5 Grade 1
  • 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
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