Transcription of Spinal Cord Injury Level and Function
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Spinal Cord Injury Level and Function
Spinal cord Injury Level and Function Dr Wunna Aung SCI rehabilitation Consultant The Spinal cord Anatomy Function Anatomy Spinal segment Spinal cord segment Level relative to vertebral bodies Function Major conduit through which information travels between brain and body. Sensation Motor Blood Pressure Bladder Bowel Sexual Function Assessment of SCI. AIS (American Spinal Injury Association ASIA Impairment Scale). Level of Injury Completeness of Injury - A, B, C, D, E. Dermatome=area of the skin innervated by the sensory axons within one segmental nerve (root). Myotome=collection of muscle fibers innervated by the motor axons within one segmental nerve( root). Dermatomes Myotomes Sensory testing Soft touch and pin prick Dermatomes Sensory Scoring 0 Absent 1 Altered 2 Normal ASIA. Chart ? ? ? ? ? ASIA. Chart C4. T4 (nipples). T6 (xiphisternum). ? ? ASIA. Chart C4. T4. T6 (xiphisternum). T10 (umbilicusicus). ? ASIA. Chart C4. T4. T6 (xiphisternum). T10 (umbilicusicus).
Level of injury • Sensory level-the most caudal, intact dermatome for both pin prick and light touch sensation. • Motor level-lowest key muscle function that has a grade of at least 3 , providing the key muscle functions represented by segments above that level are judged to
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