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SCI > 3B: LOI Functional Outcomes > Flashcards

3B: LOI Functional Outcomes Flashcards

1
Q

What muscles are innervated with a C1-C4 SCI?

A
  • Cranial nerve
  • Diaphragm (C3-C5)
  • Traps, levator scap, some rhomboid (C4)
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2
Q

What movements can C1-C4 SCI patients perform?

A
  • Head rotation
  • Mastication, talking
  • Sip and blow
  • Scap elevation
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3
Q

What nerve roots innervate the diaphragm?

A

C3-C5

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4
Q

What nerve roots innervate the traps levator scap, and some of the rhomboid?

A

C4

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5
Q

What assist is needed for C1-C4 SCI mobility and ALDs?

A

Dependent, requires full time care, may require ventilator

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6
Q

How does a pt with a C1-C4 SCI perform weight shifts?

A

Able to be independent in a power wheelchair

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7
Q

What type of wheelchair is indicated for a C1-C4 SCI?

A

Can be independent with a power chair using sip and puff, head, tongue, or chin control

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8
Q

What muscles are innervated by C5?

A
  • Biceps
  • Brachialis
  • Brachioradialis
  • Deltoid
  • Supra/infraspinatus
  • Rhomboids
  • Some supination
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9
Q

What are transfers expected to look like with a C5 LOI?

A

Dependent with mechanical lift, some can use transfer board and assist

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10
Q

Describe bed mobility at C5

A

Dependent or with significant assist

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11
Q

What type of care does someone with a C5 injury likely require?

A

Part time, but the patient is able to direct them and advocate for themself

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12
Q

How can a pt with C5 LOI perform ADLs?

A

Able to assist with ADL or with set up with the use of adaptive equipment. Will still be dependent for bathing and dressing

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13
Q

What type of wheelchair is common for patients with C5 LOI?

A
  • Independent with a power chair with joystick controls with hand support
  • Can be independent with manual chair on level indoor surfaces
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14
Q

How does a pt with a C5 LOI perform pressure relief?

A

Independent in their wheelchair

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15
Q

What modifications may be required for a manual chair for a pt with a C5 LOI?

A
  • Plastic coated rims
  • Rim extensions
  • Power assist
  • Assist with pressure relief
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16
Q

Can a patient with a C5 LOI drive?

A

Yes - can be independent with adaptive controls

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17
Q

What muscles are innervated with a C6 LOI?

A
  • Extensor carpi radialis
  • Infraspinatus
  • Lats
  • Pec major
  • Pronator teres
  • Serratus anterior
  • Teres minor
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18
Q

What is the expectation for transfers with a C6 LOI?

A

Min assist to independent - use of a transfer board will increase their independence

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19
Q

How does a pt with a C6 LOI perform bed mobility?

A

Min assist or independent with the use of loops and rails

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20
Q

What is the expected outcome for a C6 LOI in regards to bowel and bladder?

A

May be independent with adaptive equipment, but likely needs assist

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21
Q

What type of care will someone with a C6 LOI require?

A

Part time - but able to direct and advocate

22
Q

How does a pt with a C6 LOI perform ADLs?

A
  • Adaptive equipment for eating
  • Independent for UE dressing
23
Q

What type of wheelchair will someone with a C6 LOI use?

A
  • Independent with a power chair with joystick and hand support
  • Independent with manual on level indoor surfaces
24
Q

If a pt with a C6 LOI has a manual chair, what modifications are needed?

A
  • Plastic coated rims
  • Rim extensions
  • Power assist
  • Assist with pressure relief
25
Q

Can a pt with a C6 LOI drive?

A

Can drive independently with adaptive controls

26
Q

What muscles does a pt with a C7 LOI have?

A
  • Extensor pollicis longus and brevis
  • Extrinsic finger extensors
  • Flexor carpi radialis
  • Triceps
  • Full serratus
27
Q

How does a pt with a C7 LOI perform bed mobility and transfers?

A

Independent, may use loops and rails or require assistance on uneven surfaces

28
Q

What type of wheelchair will a pt with a C7 LOI most likely have?

A
  • Independent with manual, plastic rims
  • Need assist for uneven terrain or ramps
29
Q

What is expected for a pt with a C7 LOI in regards to ADLs and bowel and bladder management?

A

Independent with adaptive equipment

30
Q

What muscles will a pt with a C8 LOI have?

A
  • Extensor finger flexors
  • Flexor carpi ulnaris
  • Flexor pollicis longus
  • Intrinsic finger flexor
  • Pecs
  • Lats
31
Q

Describe transfers for a pt with a C8 LOI

A
  • Occasional assist on uneven surfaces
  • Can do floor to chair transfers
32
Q

What type of wheelchair is indicated for a C8 LOI?

A

Independent with manual chair

33
Q

Describe ADLs and bowel and bladder management with C8 LOI

A

Mostly independent, can still use adaptive equipment

34
Q

What muscles are innervated with T1-T12 LOI?

A
  • Intercostals
  • Abdominals (T7)
35
Q

What is the nerve root for abdominal muscles?

A

T7

36
Q

Describe general functional outcomes for someone with a thoracic LOI

A

Primarily independent

37
Q

Describe ambulation with a C8 LOI

A
  • Physiologic standing and gait
  • Independent or some assist for household distances with AD and orthotics
38
Q

What muscles are innervated with a L1-L3 LOI?

A
  • Gracilis
  • Iliopsoas
  • QL
  • Rectus femoris
  • Sartorius
39
Q

Describe ambulation with a L1-L3 LOI

A
  • Independent with AD and orthotics for short distances
  • High energy expenditure
40
Q

What is the likely gait pattern for someone with a L1-L3 LOI and why?

A

Potential for 4 point due to hip flexion compensation for weight shift

41
Q

What orthotic is indicated for a L1-L2 LOI?

A

KAFO

42
Q

What orthotic is indicated for a L3 LOI?

A

AFO

43
Q

What muscles are innervated by the L4 nerve root?

A

Quads

44
Q

What muscles are innervated by the L5 nerve root?

A

Anterior tibialis and some hamstrings

45
Q

What muscles are innervated by S1 nerve root?

A

Hamstrings and gastroc

46
Q

What muscles are innervated with L4-S1 LOI?

A
  • Quads
  • Anterior tibialis
  • Hamstrings
  • Gastroc
  • Glute med
47
Q

How will a person with a L4-S1 LOI ambulate?

A

Independent with AD and orthotics for community ambulation

48
Q

What type of AD will someone with a L4-S1 LOI use?

A

Forearm crutches

49
Q

At what age can children start to use powered wheelchairs?

A

18-24 months

50
Q

At what age are children more likely to have ambulation goals?

A

< 5 years

51
Q

Why do older children tend to abandon their ambulation goals?

A

Use their wheelchair instead to keep up with their peers

SCI (6 decks)

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