- 344.0 Quadriplegia unspecified
- G82.50 Quadriplegia unspecified
- 5H: Impaired Motor Function, Peripheral Nerve Integrity,
and Sensory Integrity Associated with Nonprogressive Disorders of
the Spinal Cord
- Loss of motor and/or sensory function due to
damage in the cervical spinal cord
- Diagnosis is made by level of injury, severity of injury,
and use of the American Spinal Injury Association (ASIA) assessment.
- Quadriplegia is complete loss of sensory and motor function
due to damage in cervical spine.
- Quadriparesis is the partial loss of sensory or motor function
due to damage in the cervical spine.
- Quadriplegia is most commonly the result of trauma but can
also occur due to infarction, hemorrhage, spinal stenosis.
- Damage to the cervical spinal cord results in complications
to many body systems.
- The individual will likely experience most of the following:
- Loss of motor and/or sensory function
- Neurogenic bowel and bladder
- Autonomic dysfunction
- Orthostatic hypotension
- Loss of bone density
- Decreased ventilatory capability
- Cardiac deconditioning
- Working with this population requires the PT to be aware of
this wide range of complications in order to be safe and effective
with patient care
- Men 4 times as likely as women2
- Most common cause is motor vehicle accident (MVA), second
- Upper motor neuron signs present
- Complete injury is defined as no motor or sensory function
spared in the lowest sacral segments; incomplete injury is defined
as partial or full function spared in the lowest sacral segments.
- Altered or lost trunk control and balance
- Altered or lost head/neck control
- Altered or lost ambulation/locomotion
- Altered or lost bed mobility
- Altered or lost transfer ability
- Altered or lost muscle strength
- Altered or lost sensations
- Altered deep tendon reflexes (DTRs)
- Altered or lost bowel and bladder function
- Altered or lost autonomic control
- Altered blood pressure
- Altered thermoregulation
- Impaired bed mobility
- Impaired upright tolerance
- Impaired sitting balance
- Impaired w/c mobility
- Impaired movement of upper extremity (UE)/lower extremity
(LE), trunk, head, and neck
- Respiratory impairment
- Impaired coordination
- Impaired muscular strength
- Gait abnormalities
- Impaired transfers
- Decreased endurance and energy efficiency
- Neuropathic pain
- Postural/orthostatic hypotension
- Bladder and bowel dysfunction
- Sexual dysfunction
- Increased risk of pressure sores
- Increased risk of deep vein thrombosis
- Increased risk of contracture
- Increased risk of heterotopic ossification
- Osteoporosis and renal calculi
- Most frequent cause in adults
- MVA 45.6%2
- Fall 19.6%2
- Acts of violence, including gun shots 17.8%2
- Recreational sports 10.7%2
- Other 6.3%2
- Non-traumatic/pathological influence 30% of
all spinal cord injuries (SCIs)
- Vascular malfunctions (arteriovenous malformation,
thrombosis, embolus, or hemorrhage)
- Vertebral subluxations due to rheumatoid arthritis or degenerative ...
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