Spinal Cord Injury Etiology and Anatomy Quiz

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What is the primary characteristic of an ASIA D (motor incomplete) classification?

Muscle grades above NLI are 3 or better

Muscle grades below NLI are 3 or better (correct)

Muscle grades above NLI are not 3 or better

Muscle grades below NLI are not 3 or better

Which spinal cord syndrome is most commonly associated with anterior spinal artery infarct or cervical hyperflexion injury?

Central Cord Syndrome (correct)

Cervical HyperExtension Injury

Thoracic Injury

Cauda Equina

At the level of injury, what sensory function is affected in a spinal cord lesion?

Pain and temperature

Discriminative touch

Conscious proprioception

All sensory functions (correct)

Which type of injury is characterized by damage to lumbar and/or sacral nerve roots?

Cauda Equina (D) Signup and view all the answers

What is the primary characteristic of an LMN injury?

Lower motor neuron injury (C) Signup and view all the answers

Which spinal cord syndrome is characterized by thoracic and cervical motor areas being most impacted?

Central Cord Syndrome (B) Signup and view all the answers

What is a positive sign in the period of areflexia and flaccid paralysis?

Early resolution of spinal shock (D) Signup and view all the answers

What is the treatment for bowel and bladder dysfunction after recovery of spinal shock?

Regular bowel and bladder emptying routine (A) Signup and view all the answers

What is the characteristic of a flaccid/areflexive bladder?

Lesion of cauda equina severs all neural connections (A) Signup and view all the answers

What is the level of injury that can cause autonomic dysreflexia?

T6 and higher (C) Signup and view all the answers

Which nerve primarily controls the splanchnic vascular bed?

Greater splanchnic nerve (A) Signup and view all the answers

What is the characteristic of a spastic/hyperreflexive bladder?

Reflexive emptying can occur, but no voluntary control (A) Signup and view all the answers

What is the approximate number of individuals who experience spinal cord injury (SCI) per year?

10,000-11,000 (B) Signup and view all the answers

Which of the following populations is most likely to experience a spinal cord injury due to a fall?

Seniors (>60) (A) Signup and view all the answers

What is the term for the '4 limb paralysis' that occurs due to cervical spinal cord damage?

Tetraplegia (C) Signup and view all the answers

What is the term for the point of reference used in the ASIA sensory examination?

Face (C) Signup and view all the answers

What is the scoring system used in the ASIA sensory examination?

0-2 (C) Signup and view all the answers

What is the term for the level of injury that is determined by the most caudal segment of the spinal cord with normal motor function?

Motor level (C) Signup and view all the answers

What is the term for the classification system used to classify spinal cord injuries?

ASIA (D) Signup and view all the answers

What is the criteria for determining an incomplete injury?

Any of the above criteria (D) Signup and view all the answers

What is the level of injury that is determined by the most caudal segment of the spinal cord with normal motor and sensory function bilaterally?

Neurological level (A) Signup and view all the answers

What is the term for the zone of partial preservation for complete injuries only?

ASIA A (B) Signup and view all the answers

What is the primary focus of the Impairment Testing component in the Neurologic Physical Therapy Examination Approach?

To prioritize the top hypothesized impairments that are limiting movement (D) Signup and view all the answers

What is the main emphasis during quiet sitting in a patient with a higher level of spinal cord injury?

Independently maintaining positions with or without UE support (D) Signup and view all the answers

At which level of spinal cord injury can autonomic dysreflexia occur?

At or above T6 (C) Signup and view all the answers

What is the purpose of the Movement Analysis component in the Neurologic Physical Therapy Examination Approach?

To get the patient up and moving to assess their functional abilities (C) Signup and view all the answers

What is the primary symptom of autonomic dysreflexia?

Elevated blood pressure (B) Signup and view all the answers

What is the benefit of customizing the examination approach to expected impairments based on Myotomal/Dermatomal Patterns of involvement?

It enables the therapist to focus on the specific impairments that are most relevant to the patient's condition (B) Signup and view all the answers

What is the recommended management of autonomic dysreflexia?

Determine the stimulus and alleviate it (C) Signup and view all the answers

What is the primary goal of the Plan of Care component in the Neurologic Physical Therapy Examination Approach?

To develop a treatment plan that addresses the patient's impairments (B) Signup and view all the answers

What is a potential outcome of untreated autonomic dysreflexia?

Loss of consciousness (D) Signup and view all the answers

What is the Sequence of Examination in Neurologic Physical Therapy?

Subjective, Objective, Movement, Impairment, Assessment, Plan (B) Signup and view all the answers

Why is coughing important for individuals with spinal cord injuries?

It is essential for removing secretions and preventing respiratory complications (B) Signup and view all the answers

What percentage of normal vital capacity is typically seen in individuals with spinal cord injuries at the C3-C6 level?

30-50% (C) Signup and view all the answers