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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

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  • 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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