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Spinal cord injury assessment
This document provides an overview of assessments used in physiotherapy for patients with spinal cord injuries. It lists the key areas that should be assessed, including pain, range of motion, muscle performance, reflexes, aerobic capacity, cognition, gait, motor function, self-care, ventilation, integument, and community reintegration. For each area, it identifies specific assessment tools and how they are administered to evaluate patients and monitor treatment progress. The goal is to thoroughly examine patients with spinal cord injuries across various physical, neurological, and functional domains.
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Spinal cord injury assessment
- 1. PHYSIOTHERAPY ASSESSMENT OFSPINAL CORD INJURIES DR. DEEPAK ANAP ASSOCIATE PROFESSOR
- 2. OBJECTIVES At theend of lecture student should be able to assess a spinal cord injury patient under following headings Pain Range of motion Muscle Performance Reflexes Aerobic capacity / Endurance Arousal, Attention and cognition Gait, Locomotion and balance Motor Function, Self care and Home Management Ventilation and Integument 2
- 3. PAIN ASSESSMENT VisualAnalogue Scale International Spinal Cord Injury Basic Pain Data Set Wheelchair users Shoulder Pain index 3
- 4.
- 5. RANGE OF MOTION Goniometer 5
- 6. Muscle Performance ASIAISNSCI Manual Muscle Test Hand Held Dynamometer 6
- 7. Motor: how doyou test each segment ? 7
- 8. 8 Sensory: how doyou determine the level? • The sensory levels are scored on a 0 to 2 scale for each dermatome. • If body is divided into two identical halves there are 28 key sensory points to be tested. • Each dermatome is tested for light touch and pinprick sensations and labeled as NT (not testable) if cannot be tested.
- 9.
- 10. 10 Reflexes Deep TendonReflexes Arm Bicipital: C5 Styloradial: C6 Tricipital: C7 Leg Patellar: L3, some L4 Achilles: S1
- 11. Pathological reflexes 11 Babinski(UMN lesion) Hoffman (UMN lesion at or above cervical spinal cord) Clonus (plantar or patellar) (long standing UMN lesion)
- 12. AEROBIC CAPACITY /ENDURANCE A 6 min Arm Test 12
- 13. AROUSAL, ATTENTION ANDCOGNITION Mini Mental Scale Examination Montreal Cognitive Assessment 13
- 14.
- 15. ENVIROMNETAL OR WORKBARRIERS GAIT, LOCOMOTION AND BALANCE Wheelchair Skill test Modified functional Reach test Berg Balance scale Walking index for spinal cord injury Spinal Cord injury Functional ambulation Inventory 10 meter walk test 6 min walk test Neuromuscular Recovery scale 15
- 16. Walking Index for SpinalCord Injury (WISCI II) 16
- 17. Motor Function ModifiedAshworth scale Spinal Cord injury spasticity Evaluation tool 17
- 18.
- 19. SELF CARE ANDHOME MANAGEMENT Functional Independence Measure spinal cord injury independence measure Quadriplegia Index of function Capabilities of upper extremity instrument 19
- 20.
- 21. VENTILATION Chest circumferencewith measure tape Vital capacity Respiratory Rate 21
- 22. INTEGUMENT Braden Scale Spinal Cord injury pressure Ulcer scale Spinal Cord injury pressure ulcer scale - Acute 22
- 23. BRADEN SCALE FORPREDICTING PRESSURE ULCER 23 Scoring: The Braden Scale is a summated rating scale made up of six subscales scored from 1-3 or 4, for total scores that range from 6-23. A lower Braden Scale Score indicates a lower level of functioning and, therefore, a higher level of risk for pressure ulcer development. A score of 19 or higher, for instance, would indicate that the patient is at low risk, with no need for treatment at this time. The assessment can also be used to evaluate the course of a particular treatment.
- 24. WORK COMMUNITY ANDLEISURE INTEGRATION OR REINTEGRATION Craig Handicap Assessment and Reporting technique Assessment of life habits Reintegration to Normal living index 24
- 25.
- 26.
Editor's Notes
- #24 Scoring: The Braden Scale is a summated rating scale made up of six subscales scored from 1-3 or 4, for total scores that range from 6-23. A lower Braden Scale Score indicates a lower level of functioning and, therefore, a higher level of risk for pressure ulcer development. A score of 19 or higher, for instance, would indicate that the patient is at low risk, with no need for treatment at this time. The assessment can also be used to evaluate the course of a particular treatment.