SCI

• Anterior cord syndrome 


  • bilateral paralysis below the level of lesion
  • bilateral loss of pain and temperature sensation
  • Preservation of touch, vibration, pressure, and proprioception
• Central cord syndrome 


  • bilateral paralysis, mostly UE
  • bilateral loss of pain and temp sensation in UE
• Brown sequard syndrome 


  • ipsilateral loss of motor control below level of injury
  • contralateral loss of pain and temperature
  • ipsilateral loss of sensation of touch, proprioception, vibration, pressure
• Posterior cord syndrome 


  • preserved motor fct
  • bilateral loss of touch, vibration, pressure, and proprioception
  • intact pain and temperature sensation
• Conus medullaris


  • Injury T12-L2
  • potential LE paralysis
  • potential loss of bowel/bladder control
• Cauda Equina 


  • Injury L2-S5
  • low back pain
  • potential loss of bowel/bladder control
• Autonomic dysreflexia


  • elevated excessive BP
  • sit them up
• Orthostatic hypotension 


  • excessive Bp drop
  • lay them down
• Heterotopic ossification 


  • hard end feel during rom due to abnormal bone growth
  • we position and painless rom to prevent stiffening
• DVT


  • Risk highest initially after injury
  • Formation of blood clot, usually in thigh or lower leg
• Pressure ulcer


  • Circulation is compromised due to decreased activity
  • Need to change position every 2 hours
  • Need to learn to Inspect skin and Reposition in bed and w/c