Functional Ability by SCI

Question 1

C1-C3: movements

Answer 1

Capable to speak, chew, sip, blow

Question 2

How does a pt with C1-C3 SCI breathe?

Answer 2

Phrenic n stimulator or portable ventilatory

Question 3

C4: movements

Answer 3

Capable of respiration and scapular elevation

Question 4

How does a pt with C4 SCI cough?

Answer 4

Glossopharyngeal breathing to cough

Question 5

C4: Wc

Answer 5

Chin control to adjust wc

Question 6

C5: movements

Answer 6

1. Elbow: flexion/supination

2. shoulder: ER, Abd to 90, limited flexion

Question 7

How does a pt with C5 SCI cough?

Answer 7

Manual assistance of cough

Question 8

C5: new ability

Answer 8

Can drive c van lift

Question 9

C6: Movements

Answer 9

Shoulder: flexion, ext, IR, adduction
Forearm: pronation
Wrist: extension

Question 10

How does a pt with C6 involvement cough?

Answer 10

Independent manual cough technique

Question 11

C6: new ability

Answer 11

Can driving with hand controls

Question 12

C7: Movements

Answer 12

1. elbow extension
2. wrist flexion
3. finger/thumb extension

Question 13

C7: devices

Answer 13

Manual wc with friction hand rims

Button hook for independent dressing

Question 14

C8: Movement

Answer 14

Thumb flexors

Question 15

C8: New Ability

Answer 15

Up/down curbs c manual wc

Question 16

T1-T5: Movement

Answer 16

Full UE (finger intrinsic), trunk control, increased respiratory reserve

Question 17

T6-T8: activities

Answer 17

Swing to gait in parallel bars c bilateral KAFOs and walker c supervision

Question 18

T9-T12: activities

Answer 18

Swing through gait with KAFOs and walker/forearm crutches

Question 19

T12-L3: Movements

Answer 19

hip flexion/adduction

knee extension

Question 20

T12-L3: activities

Answer 20

4 point gait with KAFOS/forearm crutches with slightly variable surfaces

Question 21

L4-L5: New mm

Answer 21

Posterior tibialis, quads, tib anterior