- See:
- Brachial Plexus - Neuro Exam
- Management of Spinal Cord Injury:
- Assess for Spinal Shock & Sacral Sparing
- bulbocavernosus
- anal sphincter S-3
- bladder sphincter S-2
- FHL S-1
- level of a spinal cord injury is determined by the most distal intact (5/5) function
- Lower Extremity:
- sensory:
- in acute situation, sparing of sensation to pin prick in a motor segment w/ grade 0 power indicates an 85% chance of motor recovery to at least grade 3;
- ref: Sparing of sensation to pin prick predicts recovery of a motor segment after injury to the spinal cord.
- reflexes: ankle and knee
- motor:
- FHL.....S-1
- EHL.....L-5
- TA.....L-4
- Quads.....L-3
- Psoas.....L-2
- Upper Extremity:
- brachial plexus
- sensory:
- reflexes: triceps and biceps
- motor:
- Intrinsic.....T-1
- FDP.....C-8
- Triceps.....C-7
- WF.....C-7
- WE.....C-6
- Biceps.....C-5
- Deltoid.....C-5
- Functional Assesment Scale: (from complete tetraplegia to normal);
- brachioradialis absent:
- brachioradialis intact:
- brachioradialis and ECRL
- brachioradialis, ECRL, and ECRB;
- brachioradialis, ECRL, ECRB, and pronator teres;
- brachioradialis, ECRL, ECRB, pronator teres, and FCR;
- brachioradialis, ECRL, ECRB, pronator teres, FCR, and finger extensors;
- brachioradialis, ECRL, ECRB, pronator teres, FCR, and finger extensors, and thumb extensors;
- brachioradialis, ECRL, ECRB, pronator teres, FCR, and finger extensors, thumb extensors, and finger flexors;
- only intrinsics are deficient;
Upper limb surgery for tetraplegia: A 10-year re-review of hand function