Understanding Spinal Cord Injury (SCI)
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Questions and Answers

What is the primary impact of a cervical spinal cord injury?

  • Loss of leg function
  • Impaired ability to breathe (correct)
  • Loss of bladder control
  • Difficulty in vision
  • Which of the following conditions is associated with thoracic spinal cord injuries?

  • Constipation (correct)
  • Loss of feeling in the arms
  • Difficulty breathing
  • Loss of hand function
  • What is the range of spinal cord injury cases reported annually in Canada?

  • 450,000 cases
  • 500 new cases
  • 12,000 cases
  • 85,000 cases (correct)
  • Which spinal cord injury level may result in possible paraplegia?

    <p>Sacral S1-S5 (A), Lumbar L1-L5 (B)</p> Signup and view all the answers

    What type of function loss can occur due to a sacral spinal cord injury?

    <p>Loss of function in hips and legs (B)</p> Signup and view all the answers

    Which statistic is true regarding spinal cord injury globally?

    <p>500,000 new cases each year (C)</p> Signup and view all the answers

    What could be a direct consequence of a thoracic spinal cord injury?

    <p>Loss of bowel control (D)</p> Signup and view all the answers

    In which spinal cord injury level might issues with the abdominal muscles arise?

    <p>Lumbar L1-L5 (B)</p> Signup and view all the answers

    What is one of Steve's primary goals after his injury?

    <p>To improve his aerobic capacity (D)</p> Signup and view all the answers

    What method is mentioned as a way for Steve to increase his power and aerobic capacity?

    <p>Hand exercise bike (D)</p> Signup and view all the answers

    What significant improvement was observed in participants 5 years after their injury?

    <p>Enhanced peak aerobic power output (A)</p> Signup and view all the answers

    What percentage of wheelchair users with a spinal cord injury experience shoulder pain?

    <p>30-73% (D)</p> Signup and view all the answers

    Which advantage is noted from handcycling compared to wheelchair propulsion?

    <p>Higher efficiency (B)</p> Signup and view all the answers

    What cardiovascular benefit did Steve experience?

    <p>Lower blood pressure (C)</p> Signup and view all the answers

    What was the focus of the study comparing handcyclists with untrained SCI men?

    <p>Cardiorespiratory response (D)</p> Signup and view all the answers

    What effect does improving aerobic capacity have on Steve's life?

    <p>It enhances his daily living and basketball performance (A)</p> Signup and view all the answers

    What aspect of life is explored regarding persons with spinal cord injury in the qualitative study conducted in Ontario, Canada?

    <p>Perceived social isolation (A)</p> Signup and view all the answers

    Which of the following is a recommended consideration for persons with spinal cord injury according to exercise research?

    <p>Adapted exercise programs (B)</p> Signup and view all the answers

    What was the primary focus of the systematic review and meta-analysis on nutritional status in chronic spinal cord injury?

    <p>Long-term nutritional deficiencies (C)</p> Signup and view all the answers

    What psychological condition was studied in relation to social isolation among individuals with spinal cord injury?

    <p>Major depression (C)</p> Signup and view all the answers

    According to the research, what is a potential outcome of muscle stretching for individuals with spinal cord injury?

    <p>Prevention of contractures (A)</p> Signup and view all the answers

    What type of study was conducted to assess the incidence and prevalence of traumatic spinal cord injury in Canada?

    <p>A health administrative data analysis (B)</p> Signup and view all the answers

    Which of the following was a major finding regarding goal setting in spinal cord injury rehabilitation?

    <p>Experience and perspective significantly impact goal achievement (C)</p> Signup and view all the answers

    What does the systematic review on global incidence and characteristics of spinal cord injury suggest about injury trends since 2000?

    <p>An increase in reported incidents (A)</p> Signup and view all the answers

    What is a key factor that influences perceived social isolation in individuals with spinal cord injury (SCI)?

    <p>Physical accessibility (B)</p> Signup and view all the answers

    How does living alone impact social isolation for individuals with SCI?

    <p>It increases feelings of social isolation (C)</p> Signup and view all the answers

    Which activity did Steve engage in to counteract his feelings of isolation?

    <p>Playing wheelchair basketball (A)</p> Signup and view all the answers

    What aspect of social networks is critical in addressing perceived social isolation for individuals with SCI?

    <p>Quality of relationships within the network (A)</p> Signup and view all the answers

    What was one of Steve's strategies to improve his social connections?

    <p>Maintaining contact with his peer mentor from the hospital (C)</p> Signup and view all the answers

    What is indicated as a common consequence of spinal cord injury that impacts daily living?

    <p>Chronic pain (C)</p> Signup and view all the answers

    How does embedding someone into the home affect feelings of social isolation?

    <p>It decreases perceived social isolation (D)</p> Signup and view all the answers

    What tends to happen to the average social network size for someone with SCI compared to the general population?

    <p>It decreases significantly (A)</p> Signup and view all the answers

    What is a primary benefit of improving cardiovascular health in individuals with spinal cord injury?

    <p>Reduced chamber dimension (C)</p> Signup and view all the answers

    What are common issues that manual wheelchair users face?

    <p>Shoulder pain and reduced range of motion (B)</p> Signup and view all the answers

    What is one of the goals of exercise related to muscle strength and bone health?

    <p>Protect against bone mass loss (A)</p> Signup and view all the answers

    What is the role of Functional Electrical Stimulation (FES) in exercise?

    <p>It can delay bone loss and offset muscle atrophy. (A)</p> Signup and view all the answers

    Which of the following is an advantage of using elastic bands for exercise?

    <p>Accessibility and affordability (C)</p> Signup and view all the answers

    How does Functional Electrical Stimulation improve metabolic health?

    <p>By helping to offset adiposity and muscle atrophy (D)</p> Signup and view all the answers

    What change in the skeletal system can occur within the first year following a spinal cord injury?

    <p>Declines in bone mass of 30%-50% in hip and knee regions (B)</p> Signup and view all the answers

    Which outcome is NOT a goal of exercising to increase flexibility and range of motion?

    <p>Improving metabolic syndrome (B)</p> Signup and view all the answers

    What is a significant benefit of home training with elastic bands?

    <p>Prepares the body for further adaptations (C)</p> Signup and view all the answers

    Which of the following statements about shoulder pain in individuals with spinal cord injuries is true?

    <p>Shoulder pain can limit the range of motion. (D)</p> Signup and view all the answers

    What condition has led to Steve experiencing paraplegia?

    <p>Crushed T-9 vertebrae from a car accident (B)</p> Signup and view all the answers

    Which activity is Steve able to perform with good upper body control?

    <p>Handcycling (D)</p> Signup and view all the answers

    What symptom does Steve experience that affects his ability to use the wheelchair for long distances?

    <p>Fatigue and dizziness (B)</p> Signup and view all the answers

    Which environmental factor makes it easier for Steve to get around?

    <p>Accessibility adaptations in his home (C)</p> Signup and view all the answers

    What personal factor describes Steve's living situation?

    <p>Lives alone (B)</p> Signup and view all the answers

    What recreational activity does Steve engage in that involves wheelchair use?

    <p>Wheelchair basketball (A)</p> Signup and view all the answers

    What was Steve's occupation before the accident?

    <p>Accountant (C)</p> Signup and view all the answers

    What is a major barrier that Steve faces in returning to daily exercise post-injury?

    <p>Chronic pain during workouts (A)</p> Signup and view all the answers

    Which physical capability does Steve retain after his injury?

    <p>Upper body control (D)</p> Signup and view all the answers

    Which fitness activity is mentioned as part of Steve's routine?

    <p>Resistance training (B)</p> Signup and view all the answers

    Flashcards

    Quadriplegia

    A type of spinal cord injury affecting all four limbs, usually due to a neck injury.

    Cervical SCI

    Spinal cord injury in the neck region (C1-C8).

    Thoracic SCI

    Spinal cord injury in the middle/lower back (T1-T12).

    Lumbar SCI

    Spinal cord injury in the lower back (L1-L5).

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    Sacral SCI

    Spinal cord injury at the very bottom of the spine (S1-S5).

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    Paraplegia

    A spinal cord injury affecting the lower half of the body (legs and trunk).

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    SCI

    Acronym for Spinal Cord Injury

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    Global SCI Statistics

    There are over 15 million people with spinal cord injury globally, with over 500,000 cases annually.

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    Cardiovascular Health Improvement

    Reducing cardiovascular system size (smaller cavity sizes and mass, reduced left ventricle mass and chamber dimension) to improve health.

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    Shoulder Pain Reduction

    Addressing pain, contractions, and limited movement in the shoulder, a common issue for SCI patients, especially wheelchair users.

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    Muscle Breakdown Prevention

    Stopping muscle loss (atrophy), changing fiber types, increasing intramuscular fat, and managing spasticity/contractures.

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    Bone Mass Loss Prevention

    Stopping a decline in bone mass in the hips and knees (approximately 30-50% in the first year after injury), important for SCI patients.

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    Functional Electrical Stimulation (FES)

    Using electrical impulses to stimulate muscles, delaying muscle loss, and improving metabolic health, to enhance bone health.

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    Exercise for Prevention of Shoulder Pain

    Exercise helps for preventing and managing shoulder pain, essential for improving mobility and well-being.

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    Increased Muscle Strength

    Exercise improves muscle strength and trunk stabilization leading to greater support.

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    Elastic Band Exercises

    Elastic bands enable various exercises for improved body function with lower injury risk.

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    Home Training Accessibility

    Home-based training is affordable and accessible with fewer limitations compared to other training methods.

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    FES for Improved Muscle Health

    FES improves muscle size, function, and metabolism, while potentially reducing tissue damage and discomfort.

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    Handcycling Benefit: Efficiency

    Handcycling is more energy-efficient than using a wheelchair, leading to less strain on the shoulders.

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    Handcycling Benefit: Shoulder Strain

    Handcycling reduces shoulder strain compared to wheelchair propulsion. This is important because many wheelchair users experience shoulder pain.

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    Handcycling & SCI

    Handcycling is a common exercise for people with spinal cord injuries (SCI), helping them improve physical capacity.

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    Aerobic Capacity Improvement

    Aerobic capacity (how efficiently your body uses oxygen) improves with exercise for SCI individuals. This benefits daily living and activities.

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    Steve's Goal: Wheelchair Basketball

    Steve wants to improve his wheelchair basketball performance by increasing his wheelchair pushing force and aerobic capacity.

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    Steve's Exercise

    Steve can improve his cardiovascular health and wheelchair pushing power by using a hand exercise bike.

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    Handcyclist vs. Untrained SCI

    Highly trained handcyclists with SCI have significantly higher force output and aerobic capacity compared to untrained individuals with SCI.

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    Aerobic Capacity Benefits for SCI

    Improved aerobic capacity for people with SCI can lead to a stronger heart, better blood flow, lower blood pressure, and reduced cholesterol.

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    Social Network Size (SCI)

    The average number of social connections someone with a spinal cord injury (SCI) has. For people with SCI, this is typically around 4.

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    Social Network Size (General)

    The average number of social connections a person in the general population has. This is typically around 10.

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    Perceived Social Isolation

    Feeling lonely and disconnected from others, even if you have a strong social network.

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    Social Network Disruption

    A change in the size, quality, or availability of social connections, often happening after a life-changing event like SCI.

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    Living Alone (SCI)

    Living without someone who is part of your social network in the same household.

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    Social Interaction Benefits (SCI)

    Activities that can help people with SCI maintain their social networks and prevent feelings of isolation.

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    Chronic Pain (SCI)

    Pain that lasts for a long time after a spinal cord injury, affecting daily life, sleep, mental health, and physical activity.

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    Pain Prevention/Management (SCI)

    Strategies to address chronic pain, such as medication, therapy, or lifestyle changes.

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    Steve's Injury

    Steve has a T-9 incomplete spinal cord injury, meaning he has lost function below the T-9 vertebrae but still has some motor function.

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    Complete vs. Incomplete Injury

    A complete injury means there is no motor or sensory function below the level of the injury. An incomplete injury means some function remains below the injury site.

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    Functional Limitations

    Steve experiences fatigue and dizziness, limiting his ability to use a wheelchair for long distances and engage in complex tasks.

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    Steve's Activities

    Steve engages in activities like wheelchair propulsion, handcycling, wheelchair basketball, resistance training, and stretching.

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    Participation

    Steve's ability to participate in different aspects of life such as employment, social gatherings, exercise, and community events.

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    Environmental Factors

    Factors that influence Steve's ability to participate in life, such as accessibility, transportation, and home modifications.

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    Personal Factors

    Internal factors that influence Steve's recovery and participation, like age, motivation, and lifestyle.

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    Strength Training

    Steve uses resistance training to maintain muscle strength and improve function.

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    Social Isolation in SCI

    People with Spinal Cord Injury (SCI) often experience social isolation, which can lead to mental health challenges like depression.

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    SCI Prevalence in Canada

    The number of people with SCI in Canada is significant, with a clear understanding of the prevalence crucial for healthcare planning and resource allocation.

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    Exercise for SCI

    Regular physical activity is essential for individuals with SCI, to prevent muscle loss, improve cardiovascular health, and enhance overall well-being.

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    Nutritional Status in SCI

    People with SCI often have unique nutritional needs due to changes in metabolism and activity levels, requiring careful monitoring and intervention.

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    Muscle Stretching for SCI

    Stretching exercises are vital to prevent contractures (muscle tightening) and improve flexibility, crucial for maintaining mobility in SCI.

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    Functional Electrical Stimulation (FES) for SCI

    FES is a technique using electrical currents to stimulate muscles, helping to maintain muscle health and improve functional abilities in SCI.

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    Goal Setting in SCI Rehabilitation

    Setting specific goals for rehabilitation is a crucial aspect of recovery for individuals with SCI, fostering motivation and progress.

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    Study Notes

    Spinal Cord Injury (SCI)

    • SCI is any sustained damage to the spinal cord or nerves at the end of the spinal canal.
    • The spinal cord acts like a highway, sending nerve impulses between the brain and body. Damage to the cord disrupts this communication, leading to loss of mobility and sensation below the injury level.
    • Approximately 15 million+ people globally have SCI.
    • Around 500,000 new cases occur each year.
    • In Canada, there are 85,000+ people with SCI and about 4,500 new cases annually.
    • In British Columbia (B.C.), there are 12,000+ people with SCI; around 500 new cases occur annually.

    How the Spinal Cord Works

    • The spinal cord is a thick bundle of nerves running through the vertebrae.
    • It's about 18 inches long, beginning at the brain's base and ending at the buttocks.
    • Nerve impulses carry messages between the brain and the rest of the body.

    2 Kinds of Spinal Cord Injuries

    • Traumatic SCI (TSCI): The injury results from a sudden impact, such as a car crash, fall, violent act, or sports accident.
    • Non-Traumatic SCI (NTSCI): This type of injury originates from a condition like a cancerous tumor, inflammation, infection, or a birth defect (e.g., spina bifida), where the spinal cord is malformed or exposed at birth.

    Traumatic SCI vs. Non-Traumatic SCI

    • Mechanism of Injury (TSCI): Falls, transport accidents, violence, and sports activities are common causes.
    • Etiology of Injury (NTSCI): Degenerative diseases, tumors, infections, and congenital disorders are examples.
    • Average age for TSCI: 46 years old.
    • Average age for NTSCI: 63 years old.

    Forms of Spinal Cord Injury

    • Complete vs. Incomplete: Complete SCI means total loss of motor and sensory function below the injury level, whereas incomplete SCI has some remaining function.
    • Paraplegia vs. Quadriplegia: Paraplegia affects the arms and legs, and quadriplegia affects all four limbs.

    American Spinal Injury Association (ASIA) Scale

    • The ASIA scale is used to classify the severity of SCI, which is based on the extent of sensory and motor function remaining.
    • Different grades from from A (complete) to E (normal) are assigned based on features like motor and sensory deficits below a defined injury level.

    Levels of Spinal Cord Injury

    • Different injury levels in the cervical, thoracic, lumbar, and sacral regions of the spinal cord lead to varying degrees of loss of function.

    Goal #1: Exercise

    • Significant portion (12%-29%) of those with SCI don't meet exercise guidelines.
    • Rapid decline in physical fitness after injury.
    • Exercise is vital for cardiovascular health, shoulder pain reduction, preventing muscle breakdown, and preserving bone mass.

    Goal #2: Consistent Social Interactions

    • Strong social support improves physical and mental well-being for people with SCI.
    • Social isolation is common after SCI, associated with depression and negatively impacts quality of life.

    Goal #3: Pain Prevention/Management

    • Chronic pain is a frequent and debilitating consequence of SCI, affecting daily life, sleep, mental well-being, and activity participation.
    • Pain management strategies, such as exercise programs and medications, are integral to recovery and quality of life.

    Programming

    • Designing an effective exercise plan requires careful consideration of the individual's specific needs.
    • Include appropriate warm-up and cool-down routines.
    • Avoid overexertion and prioritize safety.

    Common Medications and Side Effects

    • Many people with SCI take multiple medications.
    • Medications often aim to prevent further injury or manage symptoms like inflammation, infection, or pain.
    • Possible side effects include weight gain, gastrointestinal issues, dizziness, and edema.

    Environmental Factors

    • Environmental obstacles play a significant role in the daily life and adjustments of those with SCI.

    Steve's Case Study

    • Case study of a 41-year-old man with a grade B spinal cord injury, experiencing physical, emotional consequences and challenges adjusting to daily life.

    Study on Cardiovascular Health

    • Research demonstrates a crucial link between exercise and the maintenance of cardiovascular health in individuals with SCI, impacting long-term well-being.
    • HandCycling is a vital exercise mode for manual wheelchair users.

    Beneficial Exercises

    • Elastic bands are a versatile and accessible tool for at-home training.

    Home Training Examples

    • Specific examples given showing home training exercises using elastic bands for various muscle groups.

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    Description

    This quiz explores spinal cord injuries (SCI), their impact, and how the spinal cord functions. You'll learn about the statistics regarding SCI and the types of injuries that can occur. Test your knowledge on this important topic in neurology and rehabilitation.

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