Management of Spinal Cord Injuries - Case Study Part 2: Difference between revisions
No edit summary |
No edit summary |
||
(15 intermediate revisions by 5 users not shown) | |||
Line 1: | Line 1: | ||
<div class="editorbox"> | <div class="editorbox"> | ||
'''Original Editor '''- | '''Original Editor '''- [[User:Naomi O'Reilly|Naomi O'Reilly]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Presenting Condition == | == Presenting Condition == | ||
For background information go to [[Management of Spinal Cord Injuries - Case Study Part 1]] | |||
=== Day 1 - 2 Hours Post Injury === | === Day 1 - 2 Hours Post Injury === | ||
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 | ||
=== Day 3 - 72 Hours Post Injury === | === Day 3 - 72 Hours Post Injury === | ||
ASIA Assessment - C4 ASIA B | |||
*Returned Sensation | *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 | |||
*Increased Sensation | *Increased Sensation below Lesion | ||
*Increased Motor Function | **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 === | === Day 10 === | ||
Line 31: | Line 36: | ||
=== Week 5 === | === Week 5 === | ||
ASIA Assessment - C5 ASIA C[[File:C5 ASIA C.png|center|thumb|900x900px|Classification of Spinal Cord Injury Week 5]] | |||
== Functional Assessment == | == 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] | [[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| | [[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| | [[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
Functional Assessment[edit | edit source]
Spinal Cord Independence Measure (SCIM). To find out more about completing the SCIM check out this video