NEUROLOGY. Spinal Cord Injuries Spinal Cord.

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Presentation transcript:

NEUROLOGY

Spinal Cord Injuries

Spinal Cord

The etiology of SCIs : More recent statistics suggest that motor vehicle accidents (40.9%), followed by falls (22.4%), acts of violence (21.6%), and sports-related injuries (7.5%), are now the most common causes of SCIs in the United States

Key Muscles That Can Provide Greatest Functional Improvements Level Key Muscles. C 5 Elbow flexors. C 6 Wrist extensors. C 7 Elbow extensors. C 8 Finger flexors. T 1 Finger abductors. L 2 Hip flexors. L 3 Knee extensors. L 4 Ankle dorsiflexors. L 5 Big toe extensors. S 1 Ankle plantar flexors

I-Cervical Flexion and Rotation Injuries

I- Cervical Flexion – Rotation Injury

II- Cervical Hyperflexion Injuries

II- Hyperflexion Injury III- Hyperextension Injury IV- Compression Injury

III- Cervical Hyperextension Injuries

IV- Compression Injuries

Types of Lesions 1- Complete Injuries

2- Incomplete Injuries

Special Injury Types

Special Injury Types (Cont.)

Clinical Manifestations

Complications

Cervical Spine (C1-C4)

Cervical Spine (C5-C8)

Thoracic Spine (T1-T9) Full paralysis of lower body and legs Limited upper body movement Full use of arms Capable of using a manual wheelchair for extended time No personal care needed

Thoracic Spine (T10-S5)

Compression Fractures catalog.nucleusinc.com

Cauda Equina

Pathological Changes

Medical Intervension

Orthosis A- Halo vest B- Sternal-occipital mandibular immobilization C- Philadelphia collar D- Custom-made body jacket

Orthoses Sterno-Occipital Mandibular Immobilization (SOMI) Maximizes cervical stability Cash Hyperextension Orthosis Sagital hyperextension Freedom in coronal and transverse planes More cosmetic, light weight Flex Foam Orthosis Soft, flexible interior Bony prominence relief Rigid external, adjustable, detachable frame

L1 Orthoses BI-valve Orthosis Maximizes adjustability Stabilizes pelvis Anterior Overlap Simple, adjustable Corset Front Rigid posterior to reduce abdominal pressure

THANK YOU