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


=== Day 2 - 28 Hours Post Injury ===
=== Day 2 - 28 Hours Post Injury ===
ASIA Assessment - C4 ASIA A
* Spinal Fixation at C4 - C8 with Spinal Decompression
* Spinal Fixation at C4 - C8 with Spinal Decompression
* ASIA Assessment - C4 ASIA A


=== Day 3&nbsp;- 72 Hours Post Injury ===
=== Day 3&nbsp;- 72 Hours Post Injury ===
*ASIA Assessment - C4 ASIA B&nbsp;  
ASIA Assessment - C4 ASIA B&nbsp;
*Returned Sensation Right Upper Limb and Trunk but altered
*Some Returned Sensation but Altered
*No Motor Function below Level
**S4/5 Grade 1 Bilaterally
*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 below Lesion
*Increased Motor Function Left Side &gt; Right Side
**S2 Grade 1 
*Biceps Grade 3 Bilateral
**S3 Grade 1 
*Wrist Extensors Grade 2 Left, Grade 1 Right
**S4-S5 Grade 1 
*Elbow Extensors Grade 1 Bilaterally
*Increased Motor Function Bilaterally
**Elbow Flexors Grade 2 Right, Grade 1 Left
**Wrist Extensors Grade 1 Right, Grade 1 Left


=== Day 10 ===
=== Day 10 ===
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=== Week 5 ===
=== Week 5 ===
*ASIA&nbsp;Assessment&nbsp;- C5 ASIA C  
ASIA&nbsp;Assessment&nbsp;- C5 ASIA C[[File:C5 ASIA C.png|center|thumb|900x900px|Classification of Spinal Cord Injury Week 5]]
*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  ==
== Functional Assessment  ==
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[[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.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]]
[[File:Management of SCI Course - Case Study SCIM 2.jpg|thumb|1272x1272px|center|Spinal Cord Independence Measure - Part 2]]
[[Category:Spinal_Cord_Injuries]]
[[Category:SCI_Content_Project]]
<div class="pp-no-course-suggestions pp-no-article-suggestions"></div>
[[Category:Case Studies]]
[[Category:Spinal Cord Injury Case Studies]]

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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