SCI Flashcards
Asia A
- Complete
- No motor or sensory function is preserved in the sacral segments S4-S5
Asia B
- Incomplete
- Sensory preserved not motor, Sensory is preserved below neuro level and S4-S5 segments
Asia C
- Incomplete
- Motor preserved below neurological level and > 1/2 key muscles below neurological level < 3/5.
Asia D
- Incomplete
- Motor preserved below neurological level and at least 1/2 key muscles below neuro level have 3/5 or greater.
Asia E
- Sensory and Motor intact
C3-4 lvl injury
- Neck muscles; Phrenic nerve, C4 - shoulders
- C3 and above: generally ventilator dependent
C5 lvl injury
- elbow flexors
- decreased function from elbow to distal UE (varying degrees)
C6 lvl injury
- wrist extensors
- decreased wrist and hand control
C7 lvl injury
- elbow extensors
- limited use of arms
C8-T1
- finger/fine motor
- limited use of hands; particularly w/ dexterity
T1-6
- intercostals and trunk mm. above the waist
- decreased trunk stab
T7-T12
- Abdominal
- partial loss of trunk and ab mm control
L1-L5
- LE mm
- decreased LE control
S1-S5
- ankle plantar flexors/ anal sphincter
- decreased balance and decreased bowel/bladder
functional reach
PD: <12.5” at risk
Frail Elderly: < 6-7” at risk
Rhomberg/Sharpened Rhomberg
NOT PREDICTIVE of FALLS
< 30 seconds is abnormal
BBS
< 45/56 indicates risk
TUG
> or equal to 13.5 = 80% of predictive of fallers
DGI
< or equal to 19/24 indicates risk
FGA
<22/30 indicates risk
Mini BEST test
<20/32 indicates risk
5x sit to stand
> 15 seconds (recurrent fallers)
PD: >16 seconds at risk
4 square step test
older adults > 15 sec at risk
vestibular > 12 sec at risk
ABC scale
<67.5% predictive of fallers
lower = less confidence
Falls Efficacy Scale
> or equal to 75 = increased risk
higher = less confidence
Reintegration to normal living
NOT PREDICTIVE of FALLS
higher score = MORE reintegration :)
Dizziness Headache Inventory
MCID = 18 points (25 items 100 pts)
