Management of Spinal Cord Injuries - Case Study Part 2

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

Presenting Condition[edit | edit source]

Day 1 2 Hours Post Injury

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

Day 3 72 Hours Post Injury

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

Day 7

  • 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

  • 5 Weeks on Halo Traction with Oscillating Bed - Being transferred to Halo Brace to allow for Sitting out of Bed & Initiation of Rehab
  • 5 Weeks Splinting & Passive ROM Upper Limbs
  • ASIA Assessment 
    C5 ASIA C - Increased Motor Function Left Side below Level

Functional Assessment[edit | edit source]

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

SCIM 1.jpg SCIM 2.jpg