This document summarizes different types of spinal cord injuries, including definitions, causes, classifications, and considerations for physiotherapy assessment and management. It discusses several classifications of spinal cord injuries like anterior cord syndrome, posterior cord syndrome, Brown-Sequard syndrome, and central cord syndrome. For each classification, it provides details on symptoms and affected pathways. It also outlines short-term and long-term physiotherapy goals, which focus on preventing complications, maintaining muscle properties, and coordinating rehabilitation efforts.

1. SLIDE SHARE OF SPINAL CORD INJURIES.
BY. Dr RAJ BHARDWAJ
(PT)
UTTAR PRADESH UNIVERSITY OF MEDICAL
SCIENCES SAIFAI ETAWAH.
TOPIC _.
SPINAL CORD INJURIES

2. ● Introduction.
● Definition.
● Etiology.
● Classification.
● Physiotherapy assessment of spinal cord
injuries.
● Physiotherapy management.
● Medication.

3. Introduction _
It is the damage of the spinal cord and which
may be permanent or temporary in the loss of muscle
function, sensations, and automatic function .
DEFINITION _
It is a damage or trauma to the spinal cord
which results in a loss or impaired function of muscle,
sensory loss etc

5. ETIOLOGY _
1. Gunshot injuries.
1. Surgical trauma
1. Sports injuries.
1. Fracture or fracture with dislocation

6. CLASSIFICATION _
1. Anterior cord syndrome.
1. Posterior cord syndrome.
1. Brown _sequard syndrome.
1. Central cord syndrome.
1. Conus medullaries syndrome.
1. Cauda equina syndrome

9. Anterior cord syndrome _
● It is the damage of the spinothalamic tract and corticospinal tract.
● In this case of complete motor loss below the level of lesions.
● There is loss of pain and temperature at and below the level of
injury due to involvement of lateral spinothalamic tract

10. POSTERIOR CORD SYNDROME _
● The posterior cord syndrome is a rare candition.
● Which producing damage to the dorsal
columns.
● That's involved sensation of light touch,
proprioception and vibration.
● And the preservation of motor function and
pain and temperature pathway.

11. Brown _ sequard syndrome _
It is a also rare case from of incomplete spinal
cord injury.
The damage to one side of the spinal cord.
It is a loss of vibration, Deep touch or pressure,
joint position and motor paralysis below the
level of spinal cord injury.
It is a ipsilateral.

12. CENTRAL CORD SYNDROME _
● It is the most common type of incomplete
spinal cord injury.
● It is the contusion of the central portion of the
cervical spinal cord.
● The affected body parts is upper limb
weakness, urinary retention and sensory loss
and dysfunction more than the sensory loss.

14. CONUS MEDULLARIES SYNDROME _
● It is the injury to the conus medullaries and
lumbar nerve roots..
● At the level of T12 to L2 vertebrae.
● It’is the combination of UMN and LMN palsies.
● The symptoms accures saddle anesthesia,
urinary retention, loss of bowel reflex, lower limb
motor weakness numbness and chronic back
pain

15. CAUDA EQUINA SYNDROME_
● Damage to the cauda equina portion of the
spinal cord.
● In this case muscles weakness, flaccidity in the
lower limb, wasting of muscles and loss of
reflexes.
PHYSIOTHERAPY ASSESSMENT -

16. PHYSIOTHERAPY MANAGEMENT _
# SHORT _ TERM GOALS.
● To provide psychology support to the patient..
● To prevent abnormal movement of the spine.
● To maintain normal muscle properties in the
muscles affected. .
● To prevent secondary complications.
● Etc

17. LONG TERM GOALS _
1. TO continue psychological support.
2. To coordinate with the other members of
rehabilitation.
3. To maintain clear chest and prevent any chest
complications.
4. To improve sensory system.
5. To prevent any damage to the skin.
6. To provide social and economical rehabilitation.

20. THANK YOU