Alex Turcios
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Do we not count the muscles of the trunk that are assumed intact when its respective sensation is intact?
Is it possible that I am confusing tilt and recline? I was thinking tilt is tilting the back of the seat, and that recline is reclining the whole chair including the back and seat portion. But it seems like its actually the other way around….
I went back to the lecture, so let me know if this is correct. In order to be AIS B you must: have deep anal pressure (this will make one sensory incomplete) and they must have no anal contraction IN ADDITION to not having muscle scores for 3 muscles below the level of SCI?
So if one has no anal contraction and 5/5 T1 (finger abduction) and sensation of 2/2 at T11, but no muscle strength on L2 and below, they would still be a AIS C?Also, for 3rd exam, a question about fall risk for minibest test. explanation says less then 23 is fall risk. But it does not specify the population. So is fall risk for mini best test dependent on population or should it just be considered less then 23?
Hi,
Thank you so much for your help hear, today I got to do this on a patient who was admitted to our hospital for 4 days without resolution of his symptoms!
I did the roll test and determined that he had ageotrophic horizontal nystagmus that lasted over a minute. So this told me the impaired side was the side with weaker symptoms which was his right side. I performed the R semont, followed by the R BBQ roll. The patient said he felt better and when I checked on him several hours better, he stated “I feel much better, I am going home now”
I felt so impowered, thank you!
PS: was my assessment and techniques I chose correct? I hope it was all correct and it was not just dumb luck or random chance that the patient felt better…Whaaaaattttt, I never thought if it like that. I guess, what makes the difference between the two in a physiologic level. Are you saying that cupulolithiasis is more severe or “advanced” since it needs to be converted to the shorter duration type of BPPV? Does this conversion hold true for cupulolithiasis of the posterior and anterior canals as well?
Interesting,,,
I think part of my confusion comes from Batemans article highlighting neuroanatomical bases of coma. This article gives explanation and instruction on how to perform various neurological assessment for this population. What I am confused about is, how is it possible to ask a patient to open their eyes and perform movements if they are in a coma?
