First year revision - SCI Flashcards
Name the 3 ascending tracts
Spinocerebellar tract
Spinothalamic tract
Dorsal column medial lemniscus system (gracile fasciculus and cuneate fasciculus)
Name the 5 descending tracts
Corticospinal Rubrospinal Reticulospinal Vestibulospinal Tectospinal
What assessment scale is used to assess level and severity of damage?
ASIA Impairment Scale
Describe functional ability of a C5 SCI?
Partial innervation of all shoulder muscles, elbow flexion, supination
Able to carry out feeding, drinking and grooming with wrist supports and aids
Describe the functional ability of a C6 SCI?
Radial wrist extension (tenodesis grip/ release)
Good scapula/ GHJ control/ pronation
Can drive, stand in frame
Describe functional ability of C7 SCI?
Elbow extension, wrist flexion, radial wrist flexion, PIP/ DIP flexion, MCP extension, thumb extension and abduction
Describe functional ability of C8-T1 SCI?
Forearm pronation, ulnar wrist flexion, MCP flexion, PIP and DIP extension, finger add/abduction, thumb flexion, opposition and adduction
Describe functional ability of T2-T6?
Full arm function
Partial trunk stability
All muscles of UL, partial innervation of IC, partial abdominal, long muscles of back
Describe functional ability of T7-T12?
Towards normal cough
Improved trunk stability and balance
Full intercostals, abs partially to fully innervated
Describe functional ability of L1/2?
Wheelchair user, may walk with callipers and crutches
Hip flexion, hip abduction
Describe functional ability of L3?
Can walk with ankle and foot orthoses and crutches
Partial quads
Describe functional ability of L4?
Walk with ankle support, insoles and sticks
Hamstrings, knee flexion, ankle dorsiflexion, inversion, external hip rotation, partial tib ant
