Rehabilitation of People with Spinal Cord Injury - Classification and Designation of Lesion Level

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What is the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) used for?

To promote better communication among professionals and establish prognosis

How is a complete spinal cord injury defined by the ISNCSCI?

No sensory or motor function in the lowest sacral segments (S4 and S5), with no sacral sparing

What is the relationship between spinal cord and nerve roots to vertebral bodies important for?

Understanding neurological organization and structure

What does the term 'zone of partial preservation' refer to in the context of spinal cord injuries?

Presence of motor and/or sensory function below the neurological level including S4 and S5

What is the main purpose of classifying spinal cord injuries into tetraplegia and paraplegia?

To standardize the way severity of injury is determined and documented

Why is it important to have knowledge of neuroanatomical organization and structure in the context of spinal cord injuries?

To understand the relationship between spinal cord and nerve roots to vertebral bodies

Which term is used to describe the areas of intact motor and/or sensory function below the neurological level when there is no sacral sparing?

Zones of partial preservation

What is the period of areflexia immediately following spinal cord injury characterized by?

Absence of reflex activity and impaired autonomic regulation

Which syndrome is characterized by paralysis and loss of sensation on one side of the body and loss of pain and temperature sensation on the opposite side?

Brown-Sequard Syndrome

What is the pathological autonomic reflex that can be life-threatening and is more common in the chronic stage of recovery after spinal cord injury?

Autonomic dysreflexia

What happens to reflexes following the initial period of total areflexia immediately after spinal cord injury?

They become hyperreflexic within 1 to 3 days

What type of injuries are more likely to experience autonomic dysreflexia (AD)?

Injuries above T6 (above the sympathetic splanchnic outflow)

What is the term used for lifethreatening impairment of autonomic regulation characterized by loss of control of sweating and piloerection?

Autonomic dysreflexia

What results from disruption of the ascending sensory fibers following spinal cord injury?

Impaired or absent sensation below the level of the lesion

Test your knowledge on the classification of spinal cord injury (Tetraplegia, Paraplegia) and the designation of lesion level according to the American Spinal Injury Association (ASIA). Understand the neuroanatomical organization, ascending and descending tracts of the spinal cord, and the relationship between spinal cord and nerve roots to vertebral bodies.

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