Sunday, April 26, 2015

There are several ways of diagnosing spinal injuries.

The ASIA Scale (click here). It is the most frequently measure referred to by clinicians. 

There are others that can be more understandable to the lay person.

There are many other functional scales besides the ASIA scale, (click here) but it is the most frequently used. Neurologists find the NLOI (the Neurological level of injury) scale helpful; it is a simply administered test of motor function and range of motion. The Function Independence Measure (FIM) evaluates function in mobility, locomotion, self-care, continence, communication, and social cognition on a 7-point scale.

The Quadriplegic Index of Function (QIF) detects small, clinically significant changes in people with tetraplegia. Other scales include the Modified Barthel Index, the Spinal Cord Independence Measure (SCIM), the Capabilities of Upper Extremity Instrument (CUE), the Walking Index for SCI (WISCI), and the Canadian Occupational Performance Measure (COPM).

The knowledge in understanding the way neurological deficits manifest may be of interest as the truth begins to clear in the case of Mr. Gray.

Mr. Gray had his spinal nerve severed. It wasn't just broken bones. The spinal cord range from 13 mm (12 in) thick in the cervical and lumbar regions to 6.4 mm (14 in) thick in the thoracic area.

The spinal cord isn't a large organ in width. So, if a person is handled with no regard to his or her neck a broken bone can result in a larger trauma to the central nervous system.