3.2 Functional Outcomes for SCI Flashcards
1
Q
C1-C4: breathing
A
- problems with breathing
- likely will be on some form of permanent vent
- at least at night, they will have a vent
2
Q
C1-C4: assistance level
A
total assist
- won’t be able to roll
- no transfers
- obviously no ambulation
3
Q
C1-C4: wheelchair
A
can be independent in a wheelchair
4
Q
How can a C1-C4 pt be independent in a wc?
A
- chin control
- sip and puff
- eye movement
5
Q
C1-C4 chair set-up
A
- vent set up to it
- water tube
6
Q
strategies for functional rehab
A
- muscle substitution
- physics
7
Q
tenodesis grip
A
using tight finger flexors with active wrist extension
8
Q
muscle substitution: tricep in OKC
A
tricep does extension
9
Q
muscle substitution: tricep in CKC
A
- contract anterior delt to create flexion of the humerus and lock out the elbow
- pop it forward
10
Q
benefit of using the tricep in CKC (muscle substitution)
A
difficult, but allows them to do a dip with some scapular depression
11
Q
What is the important concept of physics that can be used for a SCI pt in mobility?
A
summation of momenta
12
Q
summation of momenta
A
- if enough momentum is created in body part that can still move, the parts of the body that are connected to that portion can also move
- important with rolling
