Exam 2 - SCI

Question 1

Level of injury: C1-C3

Answer 1

• neck flexion, extension, rotation

• total paralysis of trunk, upper/lower extremities
• typically ventilator dependent and inability to clear secretions
• total assistance with ADL and 24hr care usually needed
• may be able to operate a power/tilt wheelchair with a “sip n’ puff” assistance device

Question 2

Level of injury: C4

Answer 2

• neck flexion, extension, rotation
• scapular movements
• paralysis of trunk, upper/lower weakness, inability to cough, diminished respiratory reserve secondary to paralysis of intercostal muscles
• may be able to breath without ventilator
• total assistance with ADL and 24hr care usually needed
• may be able to operate power/tilt wheelchair

Question 3

Level of injury: C5

Answer 3

• shoulder, elbow movements
• absence of elbow extension/supination and all wrist/hand movements as well as total paralysis of trunk and lower extremities
• personal home care required
• may be able to self feed with equipment, set up some grooming tasks, turn pages, write, press button with adaptive equipment
• respiratory endurance and vital capacity are diminished, person with C5 may require assistance to clear secretions
• they will remain dependent with bowel and bladder care

Question 4

Level of injury: C6

Answer 4

• shoulder, elbow movements plus wrist extension and forearm supination

• absence of wrist flexion, elbow supination, hand movement
• total paralysis of trunk and lower extremities
• some personal home care needed
• may be able to empty leg bag, assist with level transfers, feed self, bath and dress upper body, drive car from wheelchair level
• be able to propel a wheelchair manually on indoor surface

Question 5

Level of injury: C7-8

Answer 5

• shoulder movement
• elbow/wrist extension
• finger and thumb movement

• limited hand dexterity and paralysis of trunk and lower extremities

•