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Spinal Cord Injury (SCI) - Coggle Diagram
Spinal Cord Injury (SCI)
Differences
Central cord: UL more greatly affected than LL
- Lesions occurs almost exclusively in the cervical region.
Anterior cord: motor disturbance (dorsal back) = affects motor
- Bilateral loss of pain sensation and motor function
Posterior cord: sensory disturbance bc at the front
- Absent proprioception, two‐point discrimination, stereognosis, and vibration sense
Brown‐Sequard Syndrome: - caused by gunshot wounds or stabbing. half of cord is injured
- Impairment of motor abilities and proprioception on the same side as injury
- Impairment of light touch, pain, and temperature on the opposite side of the injury
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Secondary complications / Special considerations (BP, AD, Skin integrity, Pressure sores etc..)
- Osteoporosis → unable to get impact of bones
- Depression: health‐related quality of life (HRQOL) is significantly lower.
- Contractures: Contractures develop due to prolonged shortening of structures under influence of spasticity.
- Bowel and Bladder dysfunction (incontinence, incr risk of UTIs)
- Blood clots - DVTs easily → pulmonary embolism/ stroke
- Chest complications, paralysis to muscles → cant cough
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Exercise Considerations
Autonomic Dysreflexia (AD) → pressure sores, clothes too tight, someone poking leg
- shoots BP, drops HR, goosebumps, sweating
- cut off level T6, injury above T6 gets AD symptoms
**AD IS AN ABSOLUTE CONTRAINDICATION FOR EXERCISE TRAINING.
Thermoregulatory function may be impaired and exercise core temps tend to be higher → hand cooling, foot cooling, ice vests and spray bottles.
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