Friday 28 January 2011

Journals

spinal cord injury rehabilitation in post-earthquake Haiti: the critical role for non governmental organisations Landry 2010 physiotherapy

criticism - narrative account based on personal experiences framed in context of statistical survey of injuries following haitian earthquake - largerly first person explanation based on personal impressions of working with only 19 haitians of 200 estimated

-what i learned - spinal cord lesions complete have different outcomes from partial spinal cord lesions ( all returned home in 4 months with ambulatory aids )

- follow up - In addition, there are several clinical syndromes associated with incomplete spinal cord injuries.
  • The Central cord syndrome is associated with greater loss of upper limb function compared to lower limbs.
  • The Brown-Séquard syndrome results from injury to one side with the spinal cord, causing weakness and loss of proprioception on the side of the injury and loss of pain and thermal sensation of the other side.
  • The Anterior cord syndrome results from injury to the anterior part of the spinal cord, causing weakness and loss of pain and thermal sensations below the injury site but preservation of proprioception that is usually carried in the posterior part of the spinal cord.
  • Tabes Dorsalis results from injury to the posterior part of the spinal cord, usually from infection diseases such as syphilis, causing loss of touch and proprioceptive sensation.
  • Conus medullaris syndrome results from injury to the tip of the spinal cord, located at L1 vertebra.
  • Cauda equina syndrome is, strictly speaking, not really spinal cord injury but injury to the spinal roots below the L1 vertebra.