Management of Spinal Cord Injuries - Case Study Part 2: Difference between revisions
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'''Original Editor '''- | '''Original Editor '''- [[User:Naomi O'Reilly|Naomi O'Reilly]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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=== 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 === | ||
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=== 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 == | ||
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[[Category:Spinal_Cord_Injuries]] | [[Category:Spinal_Cord_Injuries]] | ||
[[Category:SCI_Content_Project]] | [[Category:SCI_Content_Project]] | ||
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[[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