Ted is a 23-year-old male who was in a car accident 4 years ago.

Patient:

Ted is a 23-year-old male who was in a car accident 4 years ago. He survived a cervical spinal cord injury resulting in a complete C7 tetraplegia. He has marked spasticity in the hip flexors, knee flexors, and ankle plantar flexors. The muscle strength of his shoulders, elbow flexors, and wrist extensors is normal, but his elbow extensors, wrist flexors, and finger muscles are weak. His latissimus dorsi, pectoralis major, and triceps brachii muscles are all partially innervated. Ted gained 40 lbs. over the previous 4 years since his discharge from rehabilitation. He lived independently without assistance, but transferred independently with great difficulty using a sliding board. He pushed a manual wheelchair independently in the community and drove an adapted van.

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1.   Explain the difference between tetraplegia and paraplegia, and complete versus incomplete spinal cord injury.

2.   What is Ted’s American Spinal Injury Association Impairment Scale degree of impairment, and what are the conditions of impairment?