Post on 10-Mar-2018
transcript
No motor or sensory function is preserved in the sacral segments S4-S5.A= Complete:Sensory but not motor function is preserved below the neurological level andB=Incomplete:includes the sacral segments S4-S5.Motor function is preserved below the neurological level, and more than half ofC=Incomplete:the key muscles below the neurological level have a muscle grade less than 3.Motor function is preserved below the neurological level, and a least half of theD=Incomplete:key muscles below the neurological level have a muscle grade of 3 or more.Motor and sensory function is normal.E=Normal:
STANDARD NEUROLOGICAL CLASSIFICATION OF SPINAL CORD INJURY
CLINICAL SYNDROMES-Central Cord Brown-Sequard Anterior Cord Conus Medullaris Cauda Equina
ASIA IMPAIRMENT SCALE
By American Spinal Injury Association
EVALUATION(motor and sensory)
C2, C3, C4C5C6C7C8L2L3L4L5S1
S2, S3, S4
DiaphragmElbow flexorsWrist extensorsElbow extensorsFinger flexorsHip flexorsKnee FlexorsAnkle dorsiflexorsLong toe extensorsAnkle plantar flexorsAnal sphincter
S1 S1
S2
S1 S1
S3 S4-5
S2
T8
T3
L5
L4
L3
L2
C6
C8C8
C6
C7C7
C5 C5
L5
L5L4L3L2L1
T12T11T10
T9
T7T6
T5
T4
T2T1C8C7C6
C5
C4
C3
C2
S1 S1
S3
S2
S1
L5
L4 L4
L3L3
L2
L1 L1
T12
T11
T10
T9
T8
T7
T6
T5
T4
T3T2
C4C4 C3
C2
C6
C7C7
C8C8
C6
C5C5
T1 T1
T2
L2
L5
C2
craighospital.org303-789-8344
Head and NeckDiaphramDeltoids, BicepsWrist ExtendersTricepsHand
Chest Muscles
Abdominal Muscles
Leg Muscles
Bowel, Bladder
Sexual Function
CERVICAL NERVES C1 - C8
THORACIC NERVES T1 - T12
LUMBAR NERVES L1 - L5
SACRAL NERVES S1- S5
Important Considerations
in Early Medical Management of Spinal Cord Injury,
(suggestions include, but not limited to):
(Courtesy of PVA)
1. Keeping skin healthy in order to prevent breakdown
Evaluate for proper equipment, padding, positioning,
transfers and weight shifts.
2. Ensuring proper bowel management by initiating
scheduled bowel regimen.
3. Proper bladder assessment and care in order to
determine best method of bladder management.
4. Awareness of possible Autonomic Dysreflexia (AD)
for patients with injuries above T6. Symptoms include
but not limited to high blood pressure, low pulse,
headache, etc. (Medical Emergency-seek help
immediately)
5. Early referral to specialized rehabilitation.
For more information:
Craig Hospital Nurse Advice Line
1-800-247-0257