Management of Spinal Cord Injuries - Case Study Part 2
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
Functional Assessment[edit | edit source]
Spinal Cord Independence Measure (SCIM). To find out more about completing the SCIM check out this video