Total number of points: 30 Spinal cord Injury Case StudiesMorgan’s Story - SCI Case Study Here’s What HappenedMorgan was a cheerleader in 10th grade, very social and considered one of the nicest people at school. Just like every othermorning, Morgan was heading to school in the SUV her parents had helped her buy just three months ago. She was still in her quiet neighborhood, where there was virtually no traffic at this early hour. Morgan was in the habit of buckling her seat belt just before she left the residential streets, to pull onto the four-lane road outside her neighborhood. It was Friday, and Morgan and her friends had plans to attend the football game after school. She remembered that they had not yet figured out where they would meet up immediately after school … It was a tradition with her circle of friends that they grab a bite to eat at a local fast food restaurant before the game. She would see her friends once she arrived at school but was excited and wanted to make the plans. This was the perfect time to send off a quick text to her friends to nail down a place to meet. Morgan’s parents, her driver’s education instructor, the local billboards, and television commercials had all warned her about the dangers of texting and driving, but Morgan knew she was an amazingly fast texter. She smiled as she thought about how painfully slow her mother was at this mindless task! As she approached the intersection, a lawn maintenance truck pulling a trailer overloaded with mowers and leaf blowers, came careening around the corner, wandering over into her lane. But Morgan was looking at her phone, so she did not see what was coming toward her. The vehicles collided. Although she was not going that fast, the sudden impact made her SUV swerve and roll over. Morgan was thrown from her vehicle. The lawn maintenance truck was damaged, and the workers, who had been belted in, were shaken up, but not severely injured. As soon as they realized what had happened, they called911, and went to help Morgan as best they could. Morgan was breathing, but dazed and just barely able to speak. Her body lay twisted in an unnatural pose. Even to the medically untrained lawn crew, it seemed obvious that this beautiful young girl’s life was to be forever changed. Morgan’s Condition – What The Doctors Found1. Morgan had a fracture at her T-9 vertebra and had significant swelling of her spinal cord. She required surgery on her spine to stabilize her from T7 to T12. 2. Morgan was able to breathe on her own. 3. Morgan could not feel or move anything below her belly button (the location of T9). 4. Morgan could not control her bowels or bladder.Task 1. Injury assessment and outcome prediction for Morgan’s case [8 points] Note: For Task 1 questions use Reference 1 as resource but also use additional resources. Clearly identify these resources in your answera. Based on the described level of injury, would you classify this patient as paraplegic or tetra/quadriplegic? Explain your choice.b. Record the patient’s ASIA (American Spinal Injury Association) scale score. Explain what this score means.c. Summarize the key components of the neurological exam that the Doctors performed after Morgan entered the hospital. Use the report by Maynard on “International Standards for Neurological and Functional Classification of Spinal Cord Injury” in the Journal Spinal Cord (reference 4). d. What improvement in motor and sensory function can be predicted after extensive rehabilitation (also include possible ASIA level) for Morgan based on the early examination and results from the doctors’ assessment? Clearly indicate why you predict the stated ASIA level outcome after rehabilitation.e. What imaging methods can be used to gain more insight into the possible damage in the cord? Explain what these imaging methods can help diagnose.Total number of points: 30 Spinal cord Injury Case StudiesTask 2. Design your own case study and do the following: [12 points]1. Write the case study: Here’s What Happened2. Write the patient’s condition – What the doctors found3. Address the following question:Note: For Task 2.3 questions use Reference 1 as resource but also use additional resources. Clearly identify these resources in your answer.a. Based on the described level of injury, would you classify this patient as paraplegic or tetra/quadriplegic? Explain your choice.b. Record the patient’s ASIA scale score. Explain what this score means.c. What improvement in motor and sensory function can be predicted after extensive rehabilitation (also include possible ASIA level) for your SCI injured patient in the case study based on the early examination and results from the doctors’ assessment? Clearly indicate why you predict the stated ASIA level outcome after rehabiliation.Task 3. Spinal Cord retraining of sensorimotor function [10 points]Note: for (1) and (2) use Reference 1 as resource but also use additional resources. Clearly identify these resources in your answer. For (3) find the paper online and for 3(d) use references 2 (primary) and 3. 1) List the different movement/physical therapy treatment options that therapists (PT/OT, etc.) have to improve sensorimotor function in Morgan’s case and provide a rationale for why these treatments may work for Morgan. 2) List the different movement/physical therapy treatment options that therapists (PT/OT, etc.) have to improve sensorimotor function in your case study in Task 2 and provide a rationale for why these treatments may work for your patient. 3) A very recent study in the New England Journal of Medicine (reference #5 below) has allowed people with serious spinal cord lesions to stand and walk again using epidural stimulation and gait and balance training. (a) what is epidural stimulation and how is it given to the patient? (b) describe the main improvements in all 4 study participants and how that is reflected in their AIS (American Spinal Injury Association Impairment Scale (AIS) grade as well as Motor and sensory scores. (c) provide a coherent argument, based on the basic knowledge of spinal cord function from section 2 in class, why this epidural stimulation can improve walking in SCI patientsReferences(1) McDonald, J. W., & Sadowsky, C. (2002). Spinal-cord injury. The Lancet, 359(9304), 417-425.(2) Bradbury, E. J., & McMahon, S. B. (2006). Spinal cord repair strategies: why do they work? Nature Reviews Neuroscience,7(8), 644-653.(3) Horner,