Classifications of SCI

Question 1

Quadriplegia

Answer 1

• Textraplegia
• Partial or complete paralysis of extremities and trunk
• Including paralysis of mm’s of respiration
• Lesions

Question 2

Paraplegia

Answer 2

• Partial or complete paralysis of all or part of the trunk and both LE
• Lesions

Question 3

Paraplegia Lesions

Answer 3

• Thoracic Vertebrae
• Lumbar Vertebrae
• Sacral roots

Question 4

Quadriplegia Lesions

Answer 4

• in the cervical spine

- 52% of SCI

Question 5

Designation of Lesion level ASIA

Answer 5

• Determine motor and sensory levels on both sides
• 28 Sensory points within dermatones
• Light touch/Sharp/Dull
• 3 Point grading scale 0-2 (absent, impaired, present)
• Level named by the most inferior nerve root segment with “normal” function
• May be complete or incomplete

Question 6

ASIA defines normal as at least __ mmt.

Answer 6

• 3

Question 7

Avoid __&__ with ASIA

Answer 7

+&-

Question 8

__% or more are incomplete

Answer 8

• 50

Question 9

ASIA impairment scale defines __ grades of SCI

Answer 9

• 5

Question 10

Grades of ASIA

Answer 10

• A,B,C,D,E

Question 11

Grade A

Answer 11

• Complete SCI
• No motor or sensory function is preserved in the sacral segments S4-S5.
• Sacral exam voluntary anal contraction absent

Question 12

Grade B

Answer 12

• Incomplete
• Sensory sparing, including sacral sparing
• S4-S5 anal sensation present

Question 13

Grade C

Answer 13

• Incomplete
• Weak motor sparing below neurological level
• 3 or less

Question 14

Grade D

Answer 14

• Incomplete
• Strong motor sparing below neurological level
• 3 or More

Question 15

Grade E

Answer 15

• Normal

- Sensory and motor function

Question 16

Complete Lesion caused by?

Answer 16

• Complete Transection
• Severe Compression
• Extensive Vascular impairment to the cord

Question 17

Complete lesion results in?

Answer 17

• Absence of all sensory and motor function below the injury

Question 18

Incomplete Lesion caused by?

Answer 18

• Continuous pressure on the cord (possible recovery with decrease of pressure)
• Partial transaction

Question 19

Clinical picture of Incomplete lesion is ____ variable and _______.

Answer 19

• Highly

- Unpredictable

Question 20

Is there preservation of some sensory/motor function below the level of injury with Incomplete lesions?

Answer 20

• YES