Analysis of Spinal Cord Injury at T3: Functional Skills & Rehab

This report provides a comprehensive overview of spinal cord injury (SCI) at the T3 level, detailing the impact on functional abilities and rehabilitation strategies. It begins by explaining the anatomical location and the common causes of SCI, including traumatic injuries and non-traumatic spinal cord lesions. The report outlines the assessment tools used to evaluate motor and sensory functions, and identifies the primary problems associated with SCI at T3, such as difficulties in performing activities of daily living (ADL) and reduced social participation. Various treatment strategies are discussed, including active assisted range of motion, strengthening exercises, and the use of assistive devices. Surgical options and the importance of specialized rehabilitation centers are also highlighted. Furthermore, the report addresses contraindications and precautions, such as bladder management and pressure ulcer prevention. Finally, it discusses the prognosis for SCI, including different syndromes and recovery expectations, and analyzes the negative effects of SCI on performance skills, sensory functioning, and perceptual processing. This document provides valuable insights into the complexities of SCI at T3 and the multifaceted approach required for effective rehabilitation.

Running head: SPINAL CORD INJURY AT T3
Spinal cord injury at T3
Name of the Student
Name of the University
Author note

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Question 1
a) The spinal cord injury (SCI) takes place in (third thoracic vertebra) T3 that is located
little down in the spinal column near to skull. The damage is caused to any part of the
spinal cord or its nerves that is located at the end of the spinal canal. T1-T4 becomes
parapalegic (legs and trunk affected) with full rising of arms, chest muscles and upper
back muscles having varying strength that depends on level of injury (Simpson et al.,
2012). The corresponding nerves affect the upper chest, muscles, abdominal and mid-
back muscles. The person is likely to use a manual wheelchair and may walk with braces
or standing frames.
b) There are three different causes of SCI at T3 complete: the most common are the
traumatic causes like sports injuries, falls and violence. Paediatric SCI is caused by
accidents due to motor vehicles and non-traumatic causes are spinal cord lesion, tumours
or processes in spinal processes.
c) The assessments or evaluation tools include neurological exam that helps in assessing
motor and sensory function of each segmental level of the spine. The perineal and deep
tendon reflexes are evaluated for the classification of lesions that is specific to spinal
syndrome.
d) The main problem that occurs due to SCI at T3 complete is inability to perform activities
of daily living (ADL) like toileting, bathing, personal hygiene, functional mobility,
grooming. SCI also affect the social participation, leisure, play, education and
occupation.
e) The strategies include active assisted range of motion (ROM), strengthening and fine
motor control. This imparts accessibility to community, environment as well as in homes.

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The assistive devices like splints and braces can be incorporated into the treatment
regimen facilitating and promoting ADL performance and functional independence for
the patient with SCI. There is pain treatment and respiratory, physical and occupational
therapists assist in treating SCI patients. There is also surgical options, although, it cannot
fix or reverse the injury like stabilizing spinal fractures, spinal cord pressure release and
treatment of other injuries that occurs at the time of SCI (Garbossa et al., 2012).
Spinal injury specialists encompass rehabilitation for SCI patients that focuses on
achievement and maintenance of good health, maximization of function and extensive
follow-up after a severe SCI. These centres also focus on routine follow-ups that can be
extended to clinical disciplinary. Rehabilitation promotes quality of life that can be
helpful for the patients with SCI to have speedy recovery. Occupational therapists (OTs)
also provide acute medical care for the patients who receive secondary injury along with
primary SCI injury (Hammell, 2013).
f) Contraindications or precautions associated with SCI include bladder management as one
need to prevent the complications of lower and upper urinary tract. Prolonged resting on
bed also affects bowel movement and it is advised that seated position can be helpful in
reducing the anorectal angle and facilitation in defecation. The seated position is suitable
for performing bowel program, although seated position is preferable. Pressure ulcers
also need to be prevented along with mobility and management of skin care.
g) Prognosis for SCI comprises of incomplete, complete and conus medullaris syndrome.
Improvement of one nerve root level is expected in majority of patients (80%), two-nerve
root level improvement occurs in only 20% of patients, and finally only 1% of patients
undergo complete recovery during hospital diagnosis. The recovery level is directly

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proportional to sparring and there is better prognosis if the patients show rapid recovery
and resumes improvement (Varma et al., 2013). Conus medullaris syndrome shows
better prognosis in terms of recovery as compared to proximal lesions.
Question 2
SCI has negative effect on the performance skills that comprise of motor skills related to
trunk and LE. The process skills are also affected along with social interaction that has a direct
impact on the self-esteem and confidence levels of the patient with SCI. The sensory functioning
is also affected like touch, proprioceptive, sensitivity and pain in terms of temperature, pressure
and functioning of trunk and LE that cannot use the body below arms and chest level
(McDonald, Becker & Huettner, 2013). Motor movement and neuromuscular related functioning
is also affected in terms of bones and joints stability as it will not function below level of injury.
The muscle functioning is also affected in terms of endurance, tone and power as muscle tone is
lost below the level of injury. The involuntary and voluntary movement reactions and reflexes
are affected along with impairment of gait pattern, as there is loss of LE and trunk muscle
functioning (Finnerup & Baastrup, 2012). Perceptual processing is also affected in patients with
SCI correlated with impaired processing of information. The patients show disturbances in the
inhibitory function, there are alterations in early encoding perceptual processing and executive
functioning that is associated with memory or contextual updating operations (Lazzaro et al.,
2013).

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References
Finnerup, N. B., & Baastrup, C. (2012). Spinal cord injury pain: mechanisms and
management. Current pain and headache reports, 16(3), 207-216.
Garbossa, D., Boido, M., Fontanella, M., Fronda, C., Ducati, A., & Vercelli, A. (2012). Recent
therapeutic strategies for spinal cord injury treatment: possible role of stem
cells. Neurosurgical Review, 35(3), 293-311.
Hammell, K. W. (2013). Spinal cord injury rehabilitation. Springer.
Lazzaro, I., Tran, Y., Wijesuriya, N., & Craig, A. (2013). Central correlates of impaired
information processing in people with spinal cord injury. Journal of Clinical
Neurophysiology, 30(1), 59-65.
McDonald, J. W., Becker, D., & Huettner, J. (2013). Spinal cord injury. In Handbook of Stem
Cells (Second Edition) (pp. 723-738).
Simpson, L. A., Eng, J. J., Hsieh, J. T., & Wolfe and the Spinal Cord Injury Rehabilitation
Evidence (SCIRE) Research Team, D. L. (2012). The health and life priorities of
individuals with spinal cord injury: a systematic review. Journal of neurotrauma, 29(8),
1548-1555.
Varma, A. K., Das, A., Wallace, G., Barry, J., Vertegel, A. A., Ray, S. K., & Banik, N. L.
(2013). Spinal cord injury: a review of current therapy, future treatments, and basic
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