2.29 SCI 3

Question 1

What MMT scores mean full innervation?

Answer 1

3, 4, 5

Question 2

lower MMT score than 3

Answer 2

lower than this means partial or no innervation

Question 3

ASIA scale: line drawing

Answer 3

• 3 or 4, draw a line below

- 2 or 1 or 0, draw a line above it

Question 4

ASIA impairment scale

Answer 4

A-E

Question 5

ASIA impairment scale: A

Answer 5

no motor or sensory function preserved in S4-5

Question 6

ASIA impairment scale: B

Answer 6

• sensory but not motor function is preserved below the neurological level
• includes S4-5

Question 7

ASIA impairment scale: C

Answer 7

• motor function preserved below neurological level of injury
• more than half of key muscles below the neurological level have a grade less than 3

Question 8

ASIA impairment scale: D

Answer 8

• motor function preserved below neurological level of injury
• at least half of key muscles below the level of injury have a grade of at least 3
• tells us they have motor and good strength below the level

Question 9

ASIA impairment scale: E

Answer 9

motor and sensory function normal

Question 10

benefit to using ASIA scale

Answer 10

helps us be able to classify incomplete injuries

Question 11

How would an SCI pt go from B to C?

Answer 11

they have to have motor function below the level

Question 12

ZPP

Answer 12

zones of partial preservation

Question 13

What are ZPPs for? How do you find them?

Answer 13

• For complete injuries ONLY
• lowest motor and lowest sensory level with ANYTHING occurring
• add up numbers for motor score on R and L

Question 14

How do you interpret ZPP score?

Answer 14

higher the number, the more is working (DUH)

Question 15

Brown Sequard

Answer 15

• ipsilateral loss of deep, discriminitive touch, motor, etc.
• contralateral motor

Question 16

central cord patient

Answer 16

• outermost part of the cord is intact, central cord is where damage has occurred
• profound weakness in UE and have strength in LE
• bed mobility difficult, sit to stand difficult

Question 17

How does a central cord pt walk?

Answer 17

like a penguin

Question 18

Can central cord pts learn to walk again?

Answer 18

yes

Question 19

anterior cord syndrome

Answer 19

• variable loss of motor
• variable loss of deep/crude touch
• posterior portion intact, so they still have proprioception

Question 20

posterior cord syndrome

Answer 20

• rarely seen
• gets rid of proprioception
• have motor and deep/crude touch

Question 21

posterior cord syndrome: what does this look like?

Answer 21

• tend to stomp, trying to get any sensory information they can
• don’t know where to put their limbs when walking
• used to see it a lot with tertiary syphilis

Question 22

cauda equina/conus medullaris SCI

Answer 22

• might have LE weakness

- typically affect bowel and bladder