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

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*Wrist Extensors Grade 2 Left, Grade 1 Right  
*Wrist Extensors Grade 2 Left, Grade 1 Right  
*Elbow Extensors Grade 1 Bilaterally
*Elbow Extensors Grade 1 Bilaterally
*Long Toe Extensors Grade 1 Left


=== Day 10 ===
=== Day 10 ===
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*Wrist Extensors Grade 2 Left, Grade 1 Right  
*Wrist Extensors Grade 2 Left, Grade 1 Right  
*Elbow Extensors Grade 1 Bilaterally
*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 23:39, 27 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 
  • Returned Sensation Right Upper Limb and Trunk but altered
  • No Motor Function below Level

Day 7[edit | edit source]

  • ASIA 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
  • Long Toe Extensors 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
  • 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
  • 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[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