文档介绍:spinal cord injury SCI
Section 1 summary
Dysfunction
P 167
Section 2 Rehabilitation evaluation
(I)Evaluation on injury
1 The assessment of nerve plane
(1)Evaluating the nerve plane of spinal cord injury patients is mainly based on the plane of motor nerve injury. But T2 - L1 sections plane of motor nerve injury is difficult to determine. So we evaluate the sensory nerve damage plane in these sections.
(2) The motor nerve injury plane is determined by examining the key muscles’ t manual muscle strength.
The sensory nerve injury plane is determined by the feeling of pain and touch of the key point.
(3) To determine the motor nerve injury level key muscle strength of the plane must be greater than or equal to 3.
The muscle strength above the plane must be normal.
P168 give an example
(II) Evaluation of sensory function
To evaluate the sensory function by using ASIA and ISCOS sensory score.
key sensory point
See table 5-5 p168
Determine the feeling plane
p169
(III) The evaluation of motor function
看P170 表5-6
The 10 groups of key muscles
Motor Scores
Determine the plane of motion
P 171
( VII) The prediction of functional recovery
P173, Table5-8
Section 3 Rehabilitation treatment
(I)The acute phase of rehabilitation
the limbs in the position of anti spasm.
passive exercise training for paralyzed limbs.
over every 2 hours, avoid bedsore.
patients with stable fixation should start early seat training.
training
and expectoration training
indwelling catheterization or intermittent catheterization technique to solve the problem of urination. Use appropriate methods to solve the problem of constipation.