Back Pain Treatment Training 2025 – 400 Free Practice Questions to Pass the Exam

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What findings indicate a spinal cord lesion?

Unilateral pain and weakness

Bilateral sensory deficits below the level of compression

The finding indicating a spinal cord lesion is bilateral sensory deficits below the level of compression. This is because spinal cord lesions can disrupt the pathways that carry sensory information from the body to the brain. When there is damage or compression within the spinal cord, it often results in altered sensory perception. If the lesion affects specific areas, such as the dorsal columns or the spinothalamic tract, patients may experience varying degrees of sensory loss or deficits. The bilateral nature of these deficits is significant because they reflect the central pathway interruption, contrasting with more localized injuries that may affect only one side of the body.

In the other options, unilateral pain and weakness suggest a possible peripheral nerve issue or a unilateral condition affecting the spinal roots rather than central spinal cord pathology. Hyperreflexia without spasticity indicates possible issues with reflex arcs but may not directly point to spinal cord lesions that typically present with hyperreflexia coupled with spasticity. Lastly, normal sensation throughout the body would imply that the spinal cord is functioning correctly, as it indicates that no disruptions in the pathways are occurring.

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Hyperreflexia without spasticity

Normal sensation throughout the body

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