Determining Neurological Level Of Injury
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 630 Ratings
🗓️ 14 July 2021
⏱️ 25 minutes
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Summary
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Elsa is evaluating a patient with a recent spinal cord injury. The patient presents with intact sensation along the lateral shoulders, lateral forearms, and thumbs. Myotomal testing reveals 5/5 elbow flexors, 3+/5 wrist extensors, and 1/5 elbow extensors and finger flexors, bilaterally. According to the ASIA impairment rating scale, which of the following should be documented into the patient's medical record:
A. C6 Neurological level of Injury
B. C5 Neurological level of Injury
C. C7 Neurological level of Injury
D. C8 Neurological level of Injury
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life |
| 0:22.4 | I have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.8 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.0 | For this week's clinical file, we have Elsa, and Elsa is evaluating a patient with a recent spinal cord injury. Now, |
| 1:02.1 | the patient presents with intact sensation along the lateral shoulders, lateral forearms, |
| 1:07.7 | and thumbs. Myotomal testing reveals five out of five strength for elbow flexors, |
| 1:14.0 | three plus out of five wrist extensors, and one out of five for elbow extensers and finger flexors |
| 1:22.3 | bilaterally. According to the Asia impairment rating scale, which of the following should be documented into the patient's medical record? |
| 1:30.9 | So we have A, C6, neurological level of injury, B, C5, neurological level of injury, C, C7 neurological level of injury, and D is C8 neurological level of injury. |
| 1:46.8 | All right, let's go up to the top of this question. |
| 1:48.7 | Before we get there, though, for those of you who are PT students or PT grads that are |
| 1:53.5 | looking to dominate the NPTE, let me tell you, if you're not a part of my free private |
| 1:58.2 | Facebook group, you need to get in there right freaking now. It's very easy. |
| 2:01.9 | You go to www.mptugroup.com. Now, why should you get in? Well, here's the thing. I am a specialist |
| 2:09.2 | in students who struggle with written tests specifically standardized testing. So if that is you, |
... |
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