Module 2 Flashcards

1
Q

What movements are possible with a C5 SCI?

A

Shoulder flexion, abduction and extension.

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2
Q

what muscle must score atleast a 3 in order to be considered a C5?

A

Elbow flexion (per ASIA classification)

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3
Q

What level gives stability in long sitting?

A

C5 allows stability in long sitting because the posterior deltoids can allow the pt extend the shoulder and lock out the elbow in extension without the need for triceps.

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4
Q

what is the first level of injury where self-feeding is possible?

A

C5 because of the biceps innervation and shoulder flexion.

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5
Q

what are some functional activity goals for C5

A

Driving may be possible and manual pressure relief, or WC mobility.

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6
Q

what must be present for a person to be considered a C6 LOI

A

Wrist extension of atleast 3

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7
Q

what are the significant movements possible at a C6 versus a C5?

A

C6 has wrist extension, some arm adduction, and forearm supination making it more likely to be independent with ADLs w/ the help of equipment (U-cuff, Straps, etc. )

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8
Q

elbow extension and finger flexion of atleast 3 is atleast what level according to AIS classification?

A

C7

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9
Q

what are the functional goals for a C7 injury?

A

independence in all aspects (grooming, feeding, dressing, B&B, WC, transfers, etc)

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10
Q

hip flexion is a 3 according to AIS classifications this patient is atleast of level of NLI?

A

L2

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11
Q

what is the minimum muscular innervation for a pt to be considered a T1

A

finger abduction

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12
Q

In order to be considered an L3 NLI you must have atleast a 3 motor score for what movement?

A

knee extension.

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13
Q

patients with injuries below the S1 level are more likely to have distal or proximal weakness?

A

proximal

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14
Q

what movement innervation must be present for S1 NLI?

A

plantarflexion

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15
Q

does forward or rear wheel axel provide more efficient propulsion?

A

forward wheel axel provides more efficient propulsion at the cost of stability. The goal is to move the axel as far forward as possible while maintaining stability.

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16
Q

how does forward wheel axel increase propulsion efficiency?

A

increased length of stroke.

17
Q

what is the ROM needed for ambulation with an orthoses?

A

hips: hyperextension ( for y ligament activation)
knee: full extension
ankle: DF to 10 degrees.
shoulder: extension
hamstring: full ROM.

18
Q

what muscle is needed for reciprical gait pattern in ambulation with a SCI?

A

active QL and hip flexors ( L2)

19
Q

what are the orthosis options for a patient with weak quadriceps activation?

A

KAFO, stance activated AFO, or none.

20
Q

at what level is the shoulder girdle fully innervated ?

A

T1

21
Q

what is the last muscle to return in the shoulder girdle?

A

pec minor is T1

22
Q

what are the risk fators for shoulder pain ?

A

tetraplegia, injury >20 yrs ago, age over 40, high BMI, use of manual WC and poor seated position.

23
Q

what positions should be used in supine to preserve shoulder integrity?

A

ER and Abduction

24
Q

what is the role of the SA in a push up motion?

A

works with the lower trap for upward rotation of the scapulae

25
Q

what muscle compensates the most in a weak SA?

A

deltoid which results in a downward motion of the scapula leading to winging.

26
Q

what level has intact respiratory function?

A

T 10 or below

27
Q

what is the braden scale used for?

A

to asses the likelihood of developing a pressure sore.

28
Q

what kind of outcome measure is the CHART?

A

patient reported outcome measure to assess the amount of disability in a community setting.

29
Q

what are the exercise guidelines for SCI?

A

20 minutes of moderate to vigorous aerobic exercise 2x a week
3 sets of strength exercises for each innervated muscle group at moderate intensity 2x per week
for cardiometabolic health benefits pts should have 30 minutes of moderate - vigorous aerobic 3x a week