Exam 7: Traumatic Spinal Cord Injury

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Discuss the functional implications at specific areas of traumatic spinal cord injury.

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A. An injury to spinal cord at cervical level (C1-C8) results in quadriplegia (paralysis of both upper and lower extremities).
B. Injuries at C1 or C2 can be fatal because functioning of all muscles, including muscles of respiration, is lost.
C. Spinal cord injuries occurring at T1 or lower result in paraplegia (paralysis of lower extremities).
D. Many of the muscles of mobility are intact with L1 through L5 injuries.
E. Sacral level (S1-S4) ambulation is usually possible with little or no equipment.

Your patient experienced a spinal cord injury as a result of an automobile accident. In preparation for working with him on his rehabilitation plan, you review his medical report and find that his injury occurred at T1 or lower. This information is useful in your preparation for planning with him because from this information you know that he, as result of the injury is _______________.

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D

In what region of the body are nerves almost always affected to some degree by spinal cord injury?

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Why can injuries at C1 or C2 be fatal?

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An injured individual at the level of spinal cord injury of T1 or lower could be expected to have only limited impairment of ____________.

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Discuss some of the functional implications of traumatic spinal cord injury.

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What does the term paraparesis refer to?

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____________________ is caused by the loss of coordinated response by the autonomic nervous system, causing an exaggerated response to stimuli below the level of the injury, such as an overextended bladder, pressure sores, or constipation.

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List some of the common causes of spinal cord injury.

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Spasticity refers to exaggerated involuntary movement of paralyzed muscles that result in exaggerated muscle jerks, hyperexcitability of reflexes, muscle spasms. Discuss the affects spasticity has persons with a spinal cord injury.

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In the acute stage after a spinal cord injury, describe cardiovascular complications individuals may be susceptible to.

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Manifestations of spinal cord injury reflect the level of injury and function of the neurons involved. What are some of the manifestations of spinal cord injury?

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The extent of paralysis and sensory loss in spinal cord injury is determined by the ____________.

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Why are pressure sores (decubitus ulcers) one of the most common complications associated with spinal cord injury?

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What causes decubitus ulcers?

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A wide range of functional abilities can be affected in spinal cord injury. Discuss some of the functional abilities that can be affected.

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Individuals with traumatic spinal cord injuries are usually transferred to a rehabilitation unit. Describe the care they will receive in rehabilitation.

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Discuss initial management of traumatic spinal cord injuries.

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In the acute stage after a spinal cord injury, individuals are susceptible to thrombophlebitis. Which of the following conditions does this term refer to?

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What is one of the most common causes of altered function of the spinal cord?

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