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The rehabilitation process following a spinal cord injury typically begins in the acute care setting. Occupational therapy plays an important role in the management of SCI. [2] Recent studies emphasize the importance of early occupational therapy, started immediately after the client is stable.
A patient after incomplete paraplegia (lesion height L3) with a knee-ankle-foot orthosis (KAFO) with an integrated stance phase control knee joint. Spinal cord injury patients often require extended treatment in specialized spinal unit or an intensive care unit. [118] The rehabilitation process typically begins in the acute care setting.
A spinal fracture, also called a vertebral fracture or a broken back, is a fracture affecting the vertebrae of the spinal column. Most types of spinal fracture confer a significant risk of spinal cord injury. After the immediate trauma, there is a risk of spinal cord injury (or worsening of an already injured spine) if the fracture is unstable ...
Symptoms suggestive of cord compression are back pain, a dermatome of increased sensation, paralysis of limbs below the level of compression, decreased sensation below the level of compression, urinary and fecal incontinence and/or urinary retention. Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.
[4] [5] Symptoms may include numbness, weakness, abnormal reflexes, or loss of bladder or bowel control. [2] Neck or back pain is also common. [3] Symptoms may be brief or persistent. [3] Some do not develop symptoms until a few days after the injury. [3] Causes may include motor vehicle collisions, falls, sports injuries, and non accidental ...
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury. [13]
The symptoms of a vertebral collapse ("compression fracture") are sudden back pain, often with radicular pain (shooting pain due to nerve root compression) and rarely with spinal cord compression or cauda equina syndrome. Multiple vertebral fractures lead to a stooped posture, loss of height, and chronic pain with resultant reduction in ...
Lesions at or above the T6 spinal cord level are more frequently reported, although there are reports of AD in patients with lesions as low as T10. [4] [5] Guillain–Barré syndrome may also cause autonomic dysreflexia. [6] Hypertension in AD may result in mild symptoms, such as sweating above the lesion level, goosebumps, blurred vision, or ...