SCI card bu 2 - · PDF fileCLINICAL SYNDROMES-Central Cord Brown-Sequard Anterior Cord Conus Medullaris Cauda Equina S1 S1 S2 S1 S1 S3 S4-5 S2 T8 T3 L5 L4 L3 L2 C6 C8 C8 C6 C7 C7 C5

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:

ASIA IMPAIRMENT SCALE

By American Spinal Injury Association

EVALUATION (motor and sensory)

C2, C3, C4 C5 C6 C7 C8 L2 L3 L4 L5 S1

S2, S3, S4

Diaphragm Elbow flexors Wrist extensors Elbow extensors Finger flexors Hip flexors Knee Flexors Ankle dorsiflexors Long toe extensors Ankle plantar flexors Anal sphincter

STANDARD NEUROLOGICAL CLASSIFICATION OF SPINAL CORD INJURY

CLINICAL SYNDROMES-Central Cord Brown-Sequard Anterior Cord Conus Medullaris Cauda Equina

S1 S1

S2

S1 S1

S3 S4-5

S2

T8

T3

L5

L4

L3

L2

C6

C8 C8

C6

C7C7

C5 C5

L5

L5 L4 L3 L2 L1

T12 T11 T10

T9

T7 T6

T5

T4

T2 T1 C8 C7 C6

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

T3 T2

C4C4 C3

C2

C6

C7C7

C8 C8

C6

C5 C5

T1 T1

T2

L2

L5

C2

www.craighospital.org 303-789-8344

Important Considerations

in Early Medical Management of Spinal Cord Injury,

(suggestions include, but not limited to):

Head and Neck Diaphram Deltoids, Biceps Wrist Extenders Triceps Hand

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

(Courtesty 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

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