Functional abilities based on SC lesion Muscle innervations/function with spinal levels

Question 1

Song to help: C1-3

Answer 1

you’re not doing many things- you can’t move or breathe on your own

Question 2

Song to help: C4

Answer 2

you breathe with our diaphragm – move your head, neck and shoulders you can

Question 3

Song to help: C5

Answer 3

you can flex your elbows

Question 4

Song to help: C6

Answer 4

your wrist extend, got a key grip that’s weak

Question 5

Song to help: C7-8

Answer 5

wrists and elbows work great, got movement in your fingers and thumbs

Question 6

Song to help: T1-4

Answer 6

you use your upper extrems

Question 7

Song to help: T5 – 9

Answer 7

get around just fine, using a manual wheelchair

Question 8

Song to help: T10-L1

Answer 8

fair to good trunk stability

Question 9

Song to help: L2 – S5

Answer 9

you will have some control if movement in your hips, knees and feet

Question 10

C2 controls?

Answer 10

head and neck movements

Skeletal muscles: sternocleidomastoid trapezius

Question 11

C3 controls?

Answer 11

breathing

elevate scapula/Skeletal muscles: sternocleidomastoid trapezius; levator scapulae; diaphragm

Question 12

C4 controls?

Answer 12

Shoulder adduction

Skeletal muscles: levator scapulae; diaphragm; rhomboids

Question 13

C5 controls?

Answer 13

Elbow flexion

Skeletal muscles: levator scapulae; diaphragm; rhomboids, supraspinatus; serratus anterior; biceps; brachialis; deltoid; pectoralis major; clavicular head

Question 14

C6 controls?

Answer 14

wrist extension

Skeletal muscles: supraspinatus; serratus anterior; biceps; brachialis; deltoid; pectoralis major; clavicular head; supinator; pronator teres; latissimus dorsi; long extensors of wrist/fingers; pectoralis major-sternal head

Question 15

C7 controls?

Answer 15

Shoulder adduction

Skeletal muscles: Serratus anterior; pectoralis major-clavicular head levator scapulae; rhomboid; supinator; pronator teres; latissimus; dorsi; long extensors of wrist/fingers; pectoralis major-sternal head; triceps

Question 16

C8 controls?

Answer 16

Finger flexion

Skeletal muscles: latissimus; dorsi; long extensors of wrist/fingers; pectoralis major-sternal head; triceps; long flexors wrist/fingers

Question 17

T1 controls?

Answer 17

Finger Abduction

Skeletal muscles: Long flexors of the wrist and fingers and hand intrinsics (Flexor pollicis longus, pronator quadratus, abductor pollicis brevis, flexor carpi ulnaris, flexor digitorum profundus, abductor digiti minimi, abductor pollicis, first dorsal introssseous)

Question 18

T2-T4 controls?

Answer 18

Intercostal abdominal wall musculature, respiratory organs (Larynx, trachea, and lungs) and abdominal organs (Esophagus)

Skeletal muscles: Heart

Question 19

T5-T8 controls?

Answer 19

Intercostal abdominal wall musculature, respiratory organs (Larynx, trachea, and esophagus), urinary system (Kidney) and abdominal organs (Lungs, heart, liver, spleen, diaphragm, gallbladder, pancreas, and small intestine).

Skeletal muscles: Heart, Internal intercostal muscle, rectus abdominius, transverse abdominius, external and internal obliques.

Question 20

T9-T11 controls?

Answer 20

Small intestine, colon, and uterus

Skeletal muscles: Transverse abdominius, rectus abdominius, external and internal obliques.

Question 21

T11-L1 controls?

Answer 21

Small intestine, colon, uterus and buttocks

Skeletal muscles: Transverse abdominius, rectus abdominius, external, internal obliques and quadrus Lumborum muscle.

Question 22

L2 controls?

Answer 22

Hip flexion & adduction

Skeletal muscles: lliopsoas; adductors

Question 23

L3 controls?

Answer 23

Knee Extension

Skeletal muscles: lliopsoas; adductors; quadriceps femoris

Question 24

L4 controls?

Answer 24

Ankle dorsiflexion

Skeletal muscles: lliopsoas; adductors; quadriceps femoris; tibialis anterior; tibialis posterior; gluteus medius, minimus, tensor fasciae lata (some of: gluteus maximus; hamstrings; extensor digitorum longus, extensor halluces longus; peroneus (longus/brevis))

Question 25

L5 controls?

Answer 25

Long toe extensors

Skeletal muscles: adductors; tibialis anterior; tibialis posterior; gluteus medius, minimus, tensor fasciae lata; gluteus maximus; hamstrings; extensor digitorum longus, extensor halluces longus; peroneus (longus/brevis)

Question 26

S1-S5 controls?

Answer 26

Ankle (Plantar flexion), toe flexion, ankle eversion and ankle inversion

Skeletal muscles: Tibialis posterior, gastrocnemius, soleus, flexor hallucis longus, flexor digitorum longus, extensor hallucis longus, extensor hallucis brevis, extensor digitorum longus, extensor digitorum brevis, fibularis longus, fibularis brevis, plantaris, fibularis tertius, adductor digiti minimi, dorsal interossei, quadratus plantae, and plantar interossei.