Exam 3: SCI 9/24 (Mat Skills)

Question 1

What is the potential for mat skills and bed mobility in a C4 or higher SCI?

Answer 1

Inadequate voluntary motor function to contribute to bed skills.

Question 2

C5- What is their capability toward rolling?

Answer 2

Some assist, pulling on bed rail or loops

Question 3

C5- What is their capability toward coming to sitting?

Answer 3

some assist walking on elbows or with loops to pull on

Question 4

C5- What is their gross mobility in sitting?

Answer 4

dependent to some assist- head can help contol

Question 5

C5- What is their capability toward leg management?

Answer 5

dependent to some assist with arm function/spacticity

Question 6

C5- What are some exceptional functional outcomes?

Answer 6

Exceptional functional outcomes include independent in bed skills. They are likely to require bed rails or loops.

Question 7

C6- What is their capability toward rolling?

Answer 7

Some assist to independent with or without equipment

Question 8

C6- What is their capability toward coming to sitting?

Answer 8

Some assist to independent with or without loops.

Question 9

C6- What is their gross mobility in sitting?

Answer 9

Some assist

Question 10

C6- What is their capability toward leg management?

Answer 10

Some assist

Question 11

C6- What are some exceptional functional outcomes?

Answer 11

Independent with all bed skills without equipment.

Question 12

C7- What are typical functional outcomes?

Answer 12

Independent to some assist in bed skills without equipment.

Question 13

C7- What is their capability toward rolling?

Answer 13

Independent

Question 14

C7- What is their capability toward coming to sitting?

Answer 14

Independent

Question 15

C7- What is their gross mobility in sitting?

Answer 15

Independent to some assist

Question 16

C7- What is their capability toward leg management?

Answer 16

Independent to some assist

Question 17

C8- What are typical functional outcomes?

Answer 17

Independent to some assist in bed skills without equipment.

Question 18

C8- What is their capability toward rolling?

Answer 18

Independent

Question 19

C8- What is their capability toward coming to sitting?

Answer 19

Independent

Question 20

C8- What is their gross mobility in sitting?

Answer 20

Independent to some assist

Question 21

C8- What is their capability toward leg management?

Answer 21

Independent to some assist

Question 22

T1 and below- what are typical functional outcomes?

Answer 22

Independent in all bed skills without equipment.

Question 23

Name some basic mat skills

Answer 23

1. ) Maintaining elbow extension while flexing shoulders
2. ) Maintaining static and dynamic control while propping on the UEs
3. ) Rolling
4. ) Propping on elbows

Question 24

What trouble may a C6 or above have with rolling?

Answer 24

Keeping elbows extended while throwing arms to prevent hitting themselves in the face.

Question 25

Why should a SCI that does not have hand function be propped with hands closed in a fist?

Answer 25

Do not want to stretch out that tenodesis grasp

Question 26

C5- What partially innervated muscle makes it possible to extend the elbow using muscle substitution?

Answer 26

Deltoid

Question 27

C5- What 3 partially innervated muscles are required to “lock” the elbow?

Answer 27

Deltoid, infraspinatus and teres minor

Question 28

C5- What partially innervated muscles make it possible to use elbow flexion to pull?

Answer 28

Biceps, brachialis, and brachioradialis

Question 29

C5- Lack of function in what muscle makes rolling difficult because active elbow extension is lacking?

Answer 29

Triceps

Question 30

C5- Minimal function of what muscle is inadequate to stabilize the scapula against the thorax?

Answer 30

Serratus Anterior

Question 31

C6-What fully innervated muscles allow for stronger elbow extension and “locking” using muscle substitution?

Answer 31

Deltoids, infraspinatus, teres minor, and the clavicular portion of pec major

Question 32

C6- Full innervation of what muscle allows for stronger pull using elbow flexion?

Answer 32

Biceps

Question 33

C6- Partial innervation of what muscle makes it possible to stabilize the scapulae against the thorax?

Answer 33

Serratus anterior

Question 34

C6- Scapular protraction allows the patient to do what?

Answer 34

Greater lift of the buttocks in sitting

Question 35

C6- Partial innervation of what muscle enhances shoulder girdle depression?

Answer 35

Lats

Question 36

C6- Minimal innervation of what muscle is inadequate to contribute significantly to bed skills?

Answer 36

Triceps

Question 37

C7- Partial innervation of what muscle allows for stronger elbow extension?

Answer 37

Triceps

Question 38

C7- Full innervation of what muscle provides a more stable scapula as well as stronger protraction and upward rotation?

Answer 38

Serratus anterior

Question 39

C7- Partial innervation of what 2 muscles enhances shoulder girdle depression, allowing greater lift of the buttocks in sitting?

Answer 39

Lats and sternocostal portion of pec major

Question 40

C8- Full innervation of what muscle provides normal strength in elbow extension?

Answer 40

Triceps

Question 41

C8- Full innervation of _________ and nearly full innervation of ________ allow strong shoulder girdle depression.

Answer 41

Full lats and nearly full pec major

Question 42

C8- Nearly full innervation of __________ and _________ and partial innervation of ___________ and _________ provide grasp without muscle substitution, making leg management easier.

Answer 42

Nearly full flexor digitorum superficialis and profundus and partial flexor pollicus longus and brevis

Question 43

T1 and below- Fully innervated _________ make all bed skills easier to achieve.

Answer 43

Fully innervated upper extremities make all bed skills easier to achieve. (Innervation of musculature associated with lower levels of injury enhances performance.)