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B - What Does the E-Scan Tell Us

SCI Bed Numbers 1 - 10 11 - 20 21 - 30 31 - 40 41 - 50 51 - 60 0 150 300 600 km As seen in Figure 2.0, the majority of patients receiving rehabilitation, in the 13 participating E-Scan sites, are between the ages of 50 and 70. Patient assessment and rehabilitation is a more complex process, in the non-traumatic group. With the high proportion of patients in their 70s and 80s, comes the potential for an increased rate of multimorbidity and secondary health complications. Figure 2.0 Age at Admision, for Individuals with Non-Traumatic and Traumatic SCI, Admited for SCI Rehabilitation . What is the Patient’s Neurological Status at Admission? The neurologic level of injury and American Spinal Injury Association (ASIA) impairment scale scores are used to describe sensory and motor impairments, following traumatic SCI, based on neurological responses, and the degree of preservation of motor and sensory function around the anus, and preservation of motor and sensory function in the arms and legs. The neurologic level is defined as the most caudal segment with normal motor and sensory function. There are five categories on the ASIA Impairment Scale (AIS): A - indicates complete SCI, with no preservation of motor or sensory function in the sacral segments. B - indicates an incomplete SCI, with preservation of sensory function in the sacral segments. C - indicates incomplete SCI, with preservation of sensory motor function below the neurological level including the sacral segments. More than half of the key muscles below the neurologic level of injury are unable to perform full active range on motion against gravity. D - indicates incomplete SCI, with preserved sensory and motor function below the neurological level including the sacral segments. At least half of the key muscles below the neurologic level of injury are able to perform full active range of motion against gravity. E - indicates normal motor and sensory function. teens 20s 30s 40s 50s 60s 70s 80s 120 90 60 30 0 30 60 90 120 Number of Admissions (n = 900) Non-Trauma Trauma WHAT DOES THE E-SCAN TELL US 39


B - What Does the E-Scan Tell Us
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