C1-S5 (Spinal Cord Green Slides)

Question 1

C1, C2, C3, C4

• Key muscles = ?
• Available movements = ?

Answer 1

C1, C2, C3, C4 (Diaphram)

- Key muscles:

• Face and neck muscls, cranial nerve innervation, diaphram (partial innervation at C3 and C4).

- Available movements:

• talking
• mastication
• sipping
• blowing
• scapular elevation

Question 2

C1, C2, C3, C4

• ADLs = ?
• Wheelchairs = ?
• Bladder = ?
• Bed mobility = ?
• Transfers = ?

Answer 2

C1, C2, C3, C4 (Diaphram)

- ADLs:

• Dependent

- Wheelchairs:

• Dependent, directs care provided by attendants.
• Independent with power wheelchair.

- Bladder:

• Dependent, requires full time attendants

- Bed mobility:

• Dependent
• Adjustable bed w/pressur-reducing mattress

- Transfers:

• Dependent

- Ambulation & driving, unable.

Question 3

C5

• Key muscles = ?
• Available movements = ?

Answer 3

C5 (Biceps)

- Key muscles:

• biceps
• brachialis
• brachioradialis
• deltoid
• infraspinatus
• rhomboid (major and minor)
• supinator

- Available movements:

• elbow flextion and supination
• shoulder external rotation
• shoulder abduction and flexion to 90 degrees

Question 4

C5

• ADLs = ?
• Bladder = ?
• Wheelchairs = ?
• Bed mobility = ?
• Transfers = ?

Answer 4

C5 (Biceps)

- ADLs:

• Assitance to independent with setup and/or equipment.

- Bladder:

• Hand splits

- Wheelchairs:

• Part time to attendant required, directs care provided by attendants.

- Bed mobility:

• Assistance to dependent, bed rails and loops

- Transfers:

• Depdent, attendents use mechanical lifts.

- Independent with car adaptive controls, unable to drive.

Question 5

C6

• Key muscles = ?
• Available movements = ?

Answer 5

C6 (Wrist Extension)

- Key muscles:

• extensor carpi radialis
• infraspinatus
• latissimus dorsi
• pec major
• pronator teres
• serratus anterior
• teres minor

- Available movements:

• shoulder flexion
• sholder extension
• shoulder IR
• shoulder addution
• scap. abduction
• scap. protraction
• scap. upward rotation
• forearm pronation
• wrist extension (tenodesis grasp)

Question 6

C6

• ADLs = ?
• Bladder = ?
• Wheelchairs = ?
• Bed mobility = ?
• Transfers = ?

Answer 6

C6 (Wrist Extension)

- ADLs:

• Assistance to indepedent with setup and/or equipment

- Bladder:

• May be independent with adaptive equipment, likely to require to assistance.

- Wheelchairs:

• Independent with manual wheelchair on level surfaces.
• May require power wheel chair.

- Bed mobility:

• Independent to some assistance with adaptive equipment and/or electric bed

- Transfers:

• Independent to some assistance with adaptive equipment on level surfaces
• Some assistance to total assistance with uneven surfaces.

- Ambulation Driving

• Unable
• Independent with car/van with adaptive controls.

Question 7

C7

• Key muscles = ?
• Available movements = ?

Answer 7

C7 (Triceps)

- Key muscles:

• Extensor pollicis longus & brevis
• Extrinsic finger extensors
• Flexor cardpi radialis
• Triceps

- Available movements:

• elbow extension
• wrist flexion
• finger extension

Question 8

C7

• ADLs = ?
• Bladder = ?
• Wheelchairs = ?
• Bed mobility = ?
• Transfers = ?

Answer 8

C7 (Triceps)

- ADLs:

• Independent

- Bladder:

• Independent with adaptive equipment

- Wheelchairs:

• Independent with manual wheelchair in home community

- Bed mobility:

• Independent, may require adaptive equipment

- Transfers:

• Independent, may require adaptive equipment between uneven surfaces

- Ambulation/driving

• Unable
• Independent, car with adaptive controls

Question 9

C8

• Key muscles = ?
• Available movements = ?

Answer 9

C8 (Finger Flexion)

- Key muscles:

• extrinsic finger flexors
• flexor carpi ulnaris
• flexor pollicus longus & brevis
• intrinsic finger flexor

- Available movements:

• finger flexion

Question 10

C8

• ADLs = ?
• Bladder = ?
• Wheelchairs = ?
• Bed mobility = ?
• Transfers = ?

Answer 10

C8 (Finger Flexion)

- ADLs:

• independent

- Bladder:

• independent with adapative equipment

- Wheelchairs:

• Independent with manual wheelchair in home community

- Bed mobility:

• Independent, may require adaptive equipment

- Transfers:

• independent, may require some assistance between uneven surfaces

- Ambulation/driving

• Unable
• Independent, car with adaptive controls

Question 11

T1-T12

• Key muscles = ?
• Available movements = ?

Answer 11

T1-T12 (T1= 5th finger abductors)

- Key muscles:

• intercostals
• long muscles of the back
• abdominal musculature (t7 and below)

- Available movements:

• improved trunk control with some caudal SCI
• increased respiratory reserve
• pectoral girdle stabilized for lifting objects

Question 12

T1-T12

• ADLs = ?
• Bladder = ?
• Wheelchairs = ?
• Bed mobility = ?
• Transfers = ?

Answer 12

T1-T12 (T1= 5th finger abductors)

- ADLs:

• independent

- Bladder:

• independent with adaptive equipment

- Wheelchairs:

• independent with manual wheelchair in home and community

- Bed mobility:

• bed mobility independent

- Transfers:

• independent

- Ambulation

• independent with physiological standing and ambulation for exercise over short distance

- Driving:

• Independent, car with adaptive control

Question 13

L5-S1

• Key muscles = ?
• Available movements = ?

Answer 13

L5-S1

- Key muscles:

(L1-L3)

• Gracilis
• Iliopsoas
• Quadratus lumborum
• Rectus Femoris
• Sartorius

(L4-S1)

• Quadriceps
• anterior ti
• hamstrings
• gastrocnemius
• glute med/max
• extensor digitorium
• post. tib.
• peroneals

- Available movements:

(L1-L3)

• hip flexion
• hip adduction
• knee extension

(L4-S1)

• strong hip flexion
• strong knee extension
• knee flexion
• ankle dorsiflexion
• ankle plantar flexion
• ankle eversion
• toe extension

Question 14

L5-S1

• ADLs = ?
• Bladder = ?
• Wheelchairs = ?
• Bed mobility = ?
• Transfers = ?

Answer 14

L5-S1

- ADLs:
- Bladder:
- Wheelchairs:
- Bed mobility:
- Transfers: