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When reading this section, one should take into account the fact that we are talking about the possibility of restoration of sensitivity, and not about its normalization. With anatomical damage to the spinal cord, restoration of sensitivity proceeds in a certain sequence.

The first to restore surface skin sensitivity. The gradually appearing foci of skin sensitivity expand and merge. Usually, by the end of the 2nd week with an intensive rehabilitation process, superficial skin sensitivity is noted on the entire surface of the skin below the site of injury. The rate of restoration of skin sensitivity is shown in photos 10.7 and 10.8 and indicates that compensatory mechanisms are activated - collateral pathways of information, and not regeneration processes in the spinal cord. Subsequently, the sensitivity of the skin increases, but will always be less than the sensitivity of the skin above the level of injury. In some areas, discrete types of sensitivity are being restored. At the same time, skin hypersensitivity above the lesion is reduced. The strip of hyperesthesia at the end of the first stage of rehabilitation is not diagnosed. The restoration of skin sensitivity is possible due to the intersecting receptor zones of segmental innervation (A.V. Triumfov) and other mechanisms described in the 2nd chapter of this book.

Photo 10.7 Photo 10.8

Recovery of deep sensitivity begins at the end of the second week. At first, the patient can distinguish between a strong irritant - a blow to the sole, but cannot determine which side receives the signal. Then the threshold of perception decreases, and the patient gradually more confidently determines which side the signal came from. By the end of the first month of intensive rehabilitation, deep sensitivity increases, although it may not reach the norm.

The restoration of deep sensitivity is associated with an improvement in cerebrospinal fluid circulation, an improvement in metabolism in the areas of reception of the dura mater, which form intersecting fields, and restoration of r conductivity.
meningeus. Surface differentiation is also involved in signal differentiation. Pain sensitivity is not always restored in such patients, but its restoration has the following regularities.

Zones of pain sensitivity during intensive rehabilitation fall 5-10 cm below the level determined by segmental lesions. If CV - CVI is damaged, pain sensitivity after 2 months is determined throughout the upper limb and in the hands. The restoration of pain sensitivity begins with a “goosebump” feeling, which then turns into a burning sensation, then into a hyper-perceptual form of sensitivity, then pain sensitivity is clearly defined. The restoration of pain sensitivity is also initially scattered, then the localization zones merge. Pain sensitivity is a differentiated type of sensitivity and with massive lesions of the substance of the spinal cord, its full recovery does not occur.

* * *

The described phenomena of function restoration in patients with tetraplegia in case of cervical trauma are also characteristic of patients with other levels of spinal cord injury and are subject to a certain pattern, which is described in this chapter. This pattern consists in the fact that, first of all, structures that are less differentiated, phylogenetically older, and then phylogenetically younger, will be restored, which will manifest itself in the form of corresponding functions.
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  1. Sensitivity and types of sensory impairment
    Sensitivity - the body's ability to perceive irritations emanating from the environment or from its own tissues and organs. The analyzer consists of three departments: the receptor, the conductor, and the cortical. Receptors are the terminal formations of sensitive nerve fibers that perceive changes in the body or outside it and transmit it in the form of impulses.
  2. Vision recovery mechanism!
    Spare parts, bolts, screws, screwdrivers and an enema unit with lubricating fluid are attached to the mechanism. “Phew! Well, bore Norbekov! Finally, we got to the mechanism of restoring vision! About two hundred pages of empty talk! ” Squeezes from the reader’s thoughts on these lines. Crust of the brain, frontal part, gyrus number 2 (last)! What should be done and how? Today we thoroughly
  3. Sensitivity
    The primary perception of all stimuli in the human body is carried out by receptors - specific cells that perceive the effects of the external and changes in the internal environment of the body. Receptors-Exteroreceptors Proprioreceptors Interoreceptors General features of the three-neuronal paths of surface and deep sensitivity • The first neuron is located in the intervertebral node.
  4. Milk recovery
    I recently stopped feeding my three month old baby, but he was allergic to artificial nutrition. How can I get milk back? You can make your body produce milk again by letting your baby suck your breast. How much milk you will have and how soon depends on the diligence of your baby when taking the breast, on the time elapsed since the termination of feeding, and
    In the study of sensitivity, they are based on the testimony of patients in response to certain stimuli. However, the study of sensitivity in children presents great difficulties, since the child cannot always clearly differentiate irritation, correctly analyze his feelings and adequately describe them. In young children, often have to be limited to research only
    In the study of sensitivity, they are based on the testimony of patients in response to certain stimuli. However, the study of sensitivity in children presents great difficulties, since the child cannot always clearly differentiate irritation, correctly analyze his feelings and adequately describe them. In young children, often have to be limited to research only
  7. Restoring natural immunity
    It is not by chance that I talk about restoring the immune system, and not about preventing possible violations of its activity, since the lack of protective forces of the body of modern Homo artefactus, an artificial person, is predetermined at the time of conception by the unnatural way of life of his parents and is aggravated in the process of his own, no less unnatural, earthly of being.
    Simultaneously with increased circulation, the appearance of edema in the lower extremities, signs of a weak tone of striated muscles may appear, which indicates an increase in the activity of the somatic nervous system and the appearance of signs of spinal automatism. Consider this process in the most severe patients with tetraplegia with damage to the cervical spinal cord.
  9. Stages of vision recovery
    We divide all the work into stages. The first is a small, two to three days, which we call the "launch of vision." Then immediately begins the second - the restoration of vision. This stage for each is purely individual. Who has 2 dpt. and less - 8 days. We've already talked about this. For 8 days, you restore your vision and on the ninth - go to the third stage - adaptation to normal vision. It is very important in this
    Pain syndrome occurred in 87 patients (100%). Local pain in the area of ​​injury and pain symptoms accompanying spastic convulsive events were noted in 87 patients (100%); phantom pains - in 13 patients (14.9%); radicular pain - in 87 patients (100%); causalgia was observed in 17 patients (19.5%). In addition to pain, a violation of all types of sensitivity was observed below
  11. Sensitivity
    Sensitivity is the body's ability to perceive irritation emanating from the environment or from its own organs and tissues. In physiology, the entire totality of afferent systems is united by the concept of reception. Sensitivity is a special case of reception, when afferent impulses lead to the formation of sensations. Not everything that undergoes reception is felt. For example: afferent to
    As soon as the lower limbs become warm and blood flow increases in them, edema appears, which is especially pronounced in the first 2-3 weeks. Spontaneous hematomas may appear under the skin of the lower extremities, indicating an increase in blood flow through capillaries that did not work before. Dystrophically altered capillary walls do not withstand pressure and burst, which is accompanied by hemorrhages
    In the clinic, it is customary to distinguish between types and types of sensitive disorders. The following types of sensory impairment exist, which are distinguished depending on a qualitative or quantitative change in sensations. Anesthesia - the complete loss of any kind of sensitivity - is explained by the fact that, due to some obstacles, the pulses do not reach the corresponding cortical paths
  14. Blood circulation restoration
    After free blowing of two portions of air (each blowing should last 1-1.5 s), blood circulation should be quickly assessed. In adults and older children, the pulse is checked on the carotid artery, in young children - on the brachial or femoral. If an adequate pulse or blood pressure is determined, then mechanical ventilation is continued (frequency 10-12 / min in adults and children over 8 years old, 20 / min in children
  15. Blood circulation restoration
    A guideline for external cardiac massage is the point above the sternum, located 3-4 cm above the junction of the costal arch and sternum and corresponding to the border between the middle and lower third of the sternum. The carer should kneel near the victim’s chest and press rhythmically on it, without bending its arms at the elbow joints, in order to use the weight of its body.
    Definition Delayed breathing after surgery is called a weakening or inadequate breathing attempt after anesthesia. Etiology Reduced ventilatory response to hypercarbia and hypoxemia: drugs; inhaled anesthetics; hypnotics. Neuromuscular block: overdose; the residual effect of a normal dose of relaxant; altered drug metabolism;
  17. Sensitivity and its disorders
    Sensitivity - the body's ability to perceive irritations emanating from the environment or from its own tissues and organs. Teaching I.P. Pavlova on analyzers laid the foundation for a natural-science understanding of the nature and mechanisms of sensitivity. Each analyzer consists of a peripheral (receptor) department, a conductor part and a cortical department. Receptors - Special
  18. Hearing sensitivity
    Our auditory organ is very sensitive. With normal hearing, we are able to distinguish sounds that cause negligible (calculated in fractions of a micron) vibrations of the eardrum. The sensitivity of the auditory analyzer to sounds of different heights is not the same. The human ear is most sensitive to sounds with an oscillation frequency of 1000 to 3000. As you decrease or
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