SCI Flashcards
C1-C3
Movement
Limited movement of
head & neck
Sternocleidomastoid, Accessory N (XI)
Neck, Face Muscles
C4
Movement
- Good head and neck control
- May shrug shoulders; helps control upward shoulder movements
- Can breathe/No vent required
Upper trap, diaphragm
C5
Movement
1. Elbow flexion; supination
2. Some shoulder flexion, extension
3. Scapular abduction, adduction
4. NO ELBOW EXTENSION
5. Supination
Biceps, Deltoids, Rhomboid
C6
Movement
- Scapular rotation
- Shoulder horizontal adduction; abduction
- Some **WRIST EXTENSION causing passive finger flexion (TENODESIS GRASP!)
- NO FINGER STRENGTH**
5. Elbow flexion; forearm supination/pronation - NO wrist flexion/elbow extension
- No hand function
Lats, Serratus Anterior, Clavicular Pectoralis, ECRL/B, pronator
C7
Movement
1. ELBOW EXTENSION/Flexion
2. Strong wrist flexion/extension
3. Finger/thumb flexion/extension
5. GOOD shoulder movement
Triceps, Lats, Extensors of wrist and fingers
C8
Movement
- Finger flexors
- Thumb extension
Thumb & Finger extrinsics
T1
- Finger abduction, adduction
Intrinsic hands
T2-T12
T10-T12
Movement
- Normal head, neck, shoulders, arms, hands, and fingers
- Increased use of rib and chest msucles, or trunk control.
- At last 3 levels, more improvements in trunk control (abdominal m)
Chest and abdominal muscles
T1-T12
Movement
- Respiration capacity and endurance maybe compromised
Chest, abs
L1-L5
Movement
- Full upper body control
- Some hip, thigh, knee, and toe control
S1-S5
Movement
- Varies degress of bladder and bowel control
- Sexual function
C1-C3
Functional goals & Equpiment used
- Breathing (vent, suction)
- Communication (mouth stick, AT, communcation board)
- Daily tasks (mouth stick, environmental control unit (ECU)
- Mobility (Power W/C with head control, mouth stick, sip and puff or chin control; manual lift, hospital bed, pressure cushion)
C3-C4
Functional Goals & Equip
- Breathing (may intially req. vent, but usually adjust to no vent)
- Communication (normal)
- Daily tasks: Requires full assistance for bed mobility, transfers, all self-care)
- Eating (may be independent with AE); may operate adjustable bed to perform other tasks (ECU, hands free devices, mouth-stick for typing)
- Mobility (P W/C with head control, mouth stick, sip and puff, or chin control; power tilt function for independence with pressure relief)
C5
- Daily Tasks: SET-UP in eating and grooming with AE (universal cuff, scoop plate, plate guard, long straw, adaptive razor); Total A for mobility; May be able to assist caregiver with UE/some bath with AE; BATH: roll in padded shower&commod chair/padded tub bench; wash mitt; adaptive loofah
- Health care: Requires A for cough; catheter pressure relief with P W/C with tilt-in-power
- Mobility: May have strength to push Manuel W/C for SHORT distances over level of surface; PW/C with hand control required for daily activities. May drive with specialized hand controls in mod.van w/ lift; requires A with transport
BED: Bed ladder, thigh straps, and bed rails - B&B: Requires Total A; catheter; bowel specialized equip
C6
- Daily tasks: MOD-I with most feeding, grooming, and UB dressing; some A for LB dressing; able to A with UB bathing. With some or** TOTAL A for slideboard transfers** -toileting/bathing; some light meal prep
- Healthcare: INDEPENDENT with pressure relief with power tilt; may req some or no A for FWD/lateral llean pressure relief
C7-T1
- Daily tasks: Independent with all feeding, grooming, and UB dressing (AE: universal cup, built up handles, curved utensils, long straq, plate guard, leg lifter, dressing stick, zipper pull, hooks on shoes, slide board, padded drop-arm tub bench/commode)
- Independent with W/C pushup or lateral lean for pressure relief
- Mobility: Independent with manuel W/C propulsion and level surface sliding board transfers. May require some assistance from caregiver for uphill transfers. Can be independent with driving if able to load and unload w/c; Hand controls, mod-van if unable to perform transfer or load/unload chair
- B&B: Depending on hand function, requires some or Total A for bowel management, with use of AE or medication. Can be independent or need some assist for bladder management wijth ICP or condom catheter
T2-T12
- Daily tasks: INDEPENDENT with self-care, including B&B management (AE PRN)
- Healthcare: Independent with W/C push up (pressure relieft)
- Mobility:** Independent with all bed mobility/transfers** with or without equipment. Independent with W/C propulsion on uneven and even surfaces and up and down curbs. Able to load and unload W/C independently for driving with hand controls
T2-T12
Mobility: Independent with all bed mobility/transfers with or without equipment. Independent with W/C propulsion on uneven and even surfaces and up and down curbs.
** Can ambulate with special leg brace (extending to hips)/walking device. Functionality of ambulation depends on strength and movement in legs.**
Able to load and unload W/C independently for driving with hand controls
L1-L3
- Mobility: Increased ability to walk with fewer or no bracing or AD
- WALKING: Braces that support ANKLE/FOOT
Autonomic dysreflexia
- a dangerous syndrome involving an overraction of your autonomic nervous system, causes sudden/severe rise in BP, HR, breathing, digestion
- People with SCI at or above level 6 are most at risk
