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Spinal cord case study
Spinal cord injury in flashcard
Case study of spinal cord injury
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PURPOSE: To inform my audience about people in the United States living with spinal cord injuries
There are about a quarter of a million people in the United States living with spinal cord injuries. In addition, between 7,600 and 10,000 new injuries occur each year. Nearly half of these new injuries will occur in young people between the ages of 16 and 30. I have become very interested in the research to find a cure for spinal cord injuries and hope to share some of the information I found with you today. In order for you to fully understand the details I will be sharing with you, I’d like to begin with a general overview of the spinal cord before moving on to the three stages of research I will cover: past research which has lead to present treatments, recent research, and the present and future research.
The spinal cord is basically a bundle of nerves which runs from the base of the brain to the middle of the waist. It is the core of the spinal column and carries nerve impulses to and from the brain to the rest of the body. When this soft, jelly-like cord is injured, severe effects are felt on the body. The spinal cord can be bruised, damaged, or severed, each resulting in different degrees of injury. In this illustration we see an example of a slipped disk. A slipped disk most often results in severe and sometimes disabling pain and can be treated by painkillers, bed rest, or surgery. While definitely not a minor ailment, the severity of a slipped disk is not very high since the spinal cord is left intact and therefor there is no nerve damage. However, more serious consequences occur when the spinal cord is damaged or severed. This can happen from traumas or diseases, and since we have a limited time, I will focus only on the traumatic causes. The largest contributor to traumatic spinal cord injuries is vehicular accidents, accounting for nearly 48%. Next is falls at almost 21%, followed by violence, sports, and ‘other’. As you can see from this graph, 66% of sports injuries occur in the form of diving accidents, while I am part of the 3.8% of snow skiing accidents.
Now that I have shared a brief overview of the spinal cord and some statistics about spinal cord injuries, we will look at the past research that h...
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...e sclerosis, Parkinson’s disease, diabetes, heart disease, Alzheimer’s, Lou Gehrig’s disease, and spinal cord injuries, and have already been used against certain types of cancer.
The controversy behind the stem cell research has been raging since the first experiments. The United States Congress banned federally supported human-embryo research in 1996, forcing scientists to solicit funding from private sponsors. Since stem cells are harvested from aborted fetuses, the ethical issues surrounding abortion act as a stigma in the public’s view. However, in September of last year, the National Bioethics Advisory Commission concluded that harvesting stem cells from discarded embryos is morally akin to removing organs from dead people for transplant. Stem cell research continues to be very controversial, yet prevalent in the scientific community.
Research in the field of spinal cord injuries has already come very far in only the past decade, and now seems to be on the fast track to finding a cure. Many of the facts and statistics I found while researching this topic were entirely new to me, and I am glad that I had the opportunity to research such an important and relevant subject.
warm) in the left upper and lower extremities; decreased strength and movement of the right upper and lower extremities and of the left abdominal muscles; lack of triceps and biceps reflexes in the right upper extremity; atypical response of patellar, Achilles (hyper) reflexes in the right lower extremity; abnormal cremasteric reflex in the right groin; fracture in cervical vertebrae #7; and significant swelling in the C7-T12 region of the spinal canal (Signs and symptoms, n.d.). The objective complaint of a severe headache could also be consistent with a spinal cord injury (Headache, nausea, and vomiting,
Stem cell research has always been a widely debated topic in 'social and political forums' ever since the case of Roe vs. Wade in 1973. In that case the Supreme Court gave women the right to have an abortion whether or not they have a medical reason to. Whereas beforehand 'they needed a medical reason'. This "sparked controversy" over stem cell research with aborted fetuses. For many of those in favor of using fetal tissue for research it has too much "potential" in the future of medicine in terms of providing cures for diseases and "". Those against fetal tissue research believe it unethical to take one human life in order to preserve another.
Regular exercise program is known to be beneficial for people with SCI. Exercise program designed for SCI patients is somewhat similar to the program for stroke survivors. However, it should be noted that the concerns for each condition are different, so there must be focus on specific requirements for the individual. Stroke survivors’ disability depends on the area of the brain that is damaged, whereas the disability of individuals with SCI depends on the damage in their spine. Therefore, detailed assessment of the spinal lesion must be carried out before designing exercise program for a person with SCI (Jacobs & Nash, 2004). An exercise program that combines mobility activities, aerobic resistance, strength, coordination, recreation, and relaxation can improve their functionality and fitness (Durán, Lugo, Ramírez & Lic, 2001). The individual should have 3 sessions per week with the total of 120 minutes (Durán, Lugo, Ramírez & Lic, 2001). The duration of each session can be shorter at first and increased over time to avoid injury and overwhelming stress for the patients. Some very common modalities of exercise for this group include arm crank ergometry and swimming. This is because SCI often causes paralysis and weakness in the lower limbs, which makes sense to place more focus on the upper extremity exercise modes in order to achieve the desired fitness level (Nash,
The car accident could damage ones spinal cord if it was crushed or hit hard enough. If the spinal cord is severed, the peripheral nerves may detach from the spinal cord. Detachment may lead to pressure applied by other organs or bones. The wreck may cause broken bones that would compress the spi...
Specific Purpose: My audience will understand the dangers of concussions, know the symptoms and be educated on ways to prevent concussions.
Specific Purpose: My specific purpose is to convince my audience what needs to be done to decrease the number of concussions in football.
A spinal cord injury refers to any traumatic injury to the nervous tissue that runs throughout the spine. Spinal cord injuries can be in one of two basic types, incomplete, or complete (A brief overview). In a complete spinal cord injury there is a total loss of function in everything below the area of the injury. In an incomplete spinal cord injury the patient retains some function. In some cases, with a minor injury the patient may even suffer no loss of function at all. Other effects of spinal cord injuries include lack of ability to regulate automatic bodily functions, such as body temperature and blood pressure, muscular and bone degradation, and kidney stones (A brief overview).
Paraplegia is a condition which involves the lower extremities as there is an impairment of the motor or sensory function. “The universal term to describe the loss of movement or sensation that follows the damage to a nerve in the body”. The thoracic, lumbar or sacral regions as it could be the area of the spinal cord which is affected by the paraplegia. Paraplegia usually affects the neural elements of the spinal canal which is caused by the spinal cord injury or a congenital condition like spinal bifida.
The spinal cord is encased in 33 hollow bones called vertebrae that are formed at the base of the skull down the back all the way to the sacrum at the bottom. The spinal cord is not one long tube but rather many small hair like fibers that run together through the openings of the vertebrae. Each vertebra has an opening where the nerves of the spinal cord poke out. Each vertebra and the nerves inside of it have a relationship with certain organs and functions.
The spinal cord is a major channel in the body where motor and sensory information travels from the brain to the body. It has white matter that surrounds a central gray matter. The gray matter is where most of the neuronal cells are located. Injury to the spinal cord will affect the conduction of information across any part of the spinal cord where the damage is located (Maynard et al., 1997). This will often result in permanent disability of a certain muscle or region of the body (Meletis et al., 2008) and a loss of tissue where the damage is located (Peng et al., 2009). As of now, there is no treatment for spinal cord injury expect for steroids. All steroids can do is provide protect of the spinal cord from secondary injury for specific patients (Peng et al., 2009).
A spinal cord injury can be serious and it can result in permanent disabilities. Immediate medical treatment is necessary to minimize the damage. If you are injured in a personal injury accident, always seek medical treatment even if you believe your injuries are not severe. Even a minor spinal cord injury can keep you from returning to work and resuming your normal daily activities.
Simple musculoskeletal back pain has symptoms of pain in the lumbrasacral area of the back (Jackson & Simpson, 2006). The upper thighs and knees are also known to be affected (Jackson & Simpson, 2006). This pain is usually described as a dull pain (Jackson & Simpson, 2006). Spinal nerve root pain is localised down the leg, and usually continues below the knee and into the feet (Jackson & Simpson, 2006). It has been d...
Paralysis extent depends upon severity and location of injury to the spine. The higher the region, often the more severe. Injuries close to the neck can result in complete paralysis whereas injuries lower down the spinal cord can lead to only the lower body being paralyzed. Quadriplegia is caused by high impact trauma or injury to the spinal cord
Recently, two overviews on the management of LBP in primary care, compared between international CPGs, recommended using diagnostic classification (diagnostic triage) to group patients with LBP into one of three broad categories: LBP with significant neurological deficits, specific LBP, and non-specific LBP36,38. LBP with significant neurological deficits is pain that follows a specific nerve root distribution from a compression41 such as prolapsed lumbar disc, spinal stenosis, or surgical scarring42. Specific LBP is due to serious
Stocchetti, N., Pagan, F., Calappi, E., Canavesi, K., Beretta, L., Citerio, G., … Colombo, A., (2004). Inaccurate early assessment of neurological severity in head injury. Journal of Neurotrauma, 21(9), 1131-1140. doi:10.1089/neu.2004.21.1131