NEUROLOGY

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NEUROLOGY
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Spinal Cord Injuries
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Spinal Cord
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• 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

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Key Muscles That Can Provide Greatest Functional
Improvements

• Level Key Muscles
• . C5
  Elbow flexors
• . C6
  Wrist extensors
• . C7
  Elbow extensors
• . C8
  Finger flexors
• . T1
  Finger abductors
• . L2
  Hip flexors
• . L3
  Knee extensors
• . L4
  Ankle dorsiflexors
• . L5
  Big toe extensors
• . S1
  Ankle plantar flexors

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• I-Cervical Flexion and Rotation Injuries

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I- Cervical Flexion Rotation Injury
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• II- Cervical Hyperflexion Injuries

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II- Hyperflexion Injury
III- Hyperextension Injury
IV- Compression Injury
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• III- Cervical Hyperextension Injuries

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• IV- Compression Injuries

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Types of Lesions

• 1- Complete Injuries

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• 2- Incomplete Injuries

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Special Injury Types
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Special Injury Types (Cont.)
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Clinical Manifestations
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Complications
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Cervical Spine (C1-C4)
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Cervical Spine (C5-C8)
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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

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Thoracic Spine (T10-S5)
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Compression Fractures
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Cauda Equina
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Pathological Changes
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Medical Intervension
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Orthosis
A- Halo vest
B- Sternal-occipital mandibular immobilization
D- Custom-made body jacket
C- Philadelphia collar
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Orthoses
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L1 Orthoses
BI-valve Orthosis

• Corset Front
• Rigid posterior to reduce abdominal pressure

• Maximizes adjustability
• Stabilizes pelvis

• Anterior Overlap
• Simple, adjustable

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• THANK YOU