Based on the chart review of a new SCI patient, the initial evaluation indicates that they have bilateral lower extremity spasticity, patellar and achilles tendon hyperreflexia, a positive Babinski, clonus, and no voluntary movements or sensation below the level of injury. The signs are characteristic of a/an…

You are preparing for treatment of a patient with a head injury who can be quite difficult to manage, particularly in some of the more complex tasks. However, he is responding well to charts and graphs in his memory book that help him to recall what he is doing in therapy. His behavior is much improved, he is starting to tolerate the therapy gym, and he is now able to complete simple tasks such as brushing his teeth and hair. This is most characteristic of someone receiving intervention based on which of these Rancho Los Amigos Levels of Cognitive Functioning?

Treatment emphasis for a patient with a TBI includes all of the following except: 

A patient preparing for discharge has achieved fully independent ADLs including bathing with a hand-held shower nozzle and dressing with a button hook. Initially elbow and finger extension were weak, grade 3+, but have significantly improved due to strength training of the triceps and extrinsic finger extensors. The patient’s family is expected to arrive this afternoon with his modified low-rider truck so that he can drive himself to an accessible apartment. He has achieved his goal of independently loading his manual chair with removable friction surface rimmed wheels. He will continue with OP intervention as he is not yet fully independent with his bowel and bladder program and requires adaptive equipment. This patient is most likely classified at what level of injury?

What motor level would this be characterized?  Hip flexion: 5/5 Knee extension: 3/5

During a chart review you notice that a patient has been classified using the Glasgow Coma Scale. Based on your study of this scale you know which of the following to be true?

Following a rear-end collision a patient sustained a cervical SCI. While working with this patient, your treatment focus is primarily on the upper extremities since they show greater involvement than the lower extremities. Generally speaking, sensory testing was normal. This is consistent with which of these syndromes?

A 17 yo male, involved in a head-on collision, walked away from with only a headache. However, he remained confused for about 15 minutes post-collision before walking away. What grade concussion do you suspect? 

This SCI level is characterized by the addition of finger flexion and allows for fine motor. 

Which of these is most likely a trauma related cause of spinal cord injury?