Jose S. Santiago M.D.

Spinal Cord Injury Spinal Cord- from base of skull down to the body of L1 vertebra Divided into 31 segments: Cervical- 8 Thoracic- 12 Lumbar- 5 Sacral- 5 Coccygeal- 1

Spinal Cord Injury (SCI) Complete Spinal Cord Injury - permanent loss of function below the level of injury 1. Complete Tetraplegia (Quadriplegia)- paralysis from neck down to the feet - Level of C1 to C8 spinal segment 2. Complete Paraplegia- paralysis from waist down to the feet - Level of T1 to T12 spinal segment

Spinal Cord Injury Incomplete Spinal Cord Injury- partial damage to the spinal cord - most common type of injury - partial loss of motor or sensory function

Spinal Cord Injury A 45 year-old man was hospitalized with spinal cord injury. Both of his legs are paralyzed and he cannot walk. He has been getting physical therapy treatment for the past 3 months.

T: Therapist P: Patient T: Hello. Good _______. P: Good _______ sir. T: How ___________? P: I am ______ now. I had _____ for the past one ____ so I didn’t come for the physical and occupational therapy treatments.

T: Therapist P: Patient T: Okay, _________. I got the information already. Did you have your _________? P: Yes, I had sir. T: Can we start the ________? P: Yes. T: I will make you ___ on the bed. While you ______ from the wheel chair, be careful.

T: Therapist P: Patient P: Okay. My _____ will also help us. T: That’s _____. We will manage. Now you should _____ your legs. Please ______ with me. P: _____ sir. T: Do you ____ any ______? P: No but I feel _____ since I had ______.

T: Therapist P: Patient T: Okay, we will do mild _______ today. P: ____ sir. T: _____ my hands and when I count try to _____ from the bed. P: Yes, I _______ that. T: OK, now get up. 1,2,3,4 ….. P: It’s ______ to do.

T: Therapist P: Patient T: Do it _______. Already you didn’t do _______ for _______. If you continue _____ the muscles will become _______. After sometime: T: Now I will ____ the _____ for you and make you ____ on the tilt table. You need to lie on it for ________.

T: Therapist P: Patient P: Yes sir. T: Who will be with you to ______ of you? P: My ______ is with me. T: Okay. After this ______ you can go to the _____. P: Thank you sir.