Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

624 Adults/Geriatrics > SCI Classification > Flashcards

SCI Classification Flashcards

1
Q

C1-C2: Innervated Muscles and available movement

A
  • facial
  • SCM
  • infrahoid
  • rectus capitus
  • upper traps

movement: facial expressions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

C1-C2: respiration

A
  • requires ventilator and/or phrenic nerve stimulator

- tracheostomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

C1-C2 sensation

A
  • head

- ASIA: C2 –> occipital protuberance behind the ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

C1-C2: mobility

A
  • sip n puff w/c
  • tilt n space w/c for pressure relief
  • arm troughs
  • high back to control/support neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

C1-C2: treatment and mobility

A
  • self-care: dependent
  • family and caregiver training
  • ROM to prevent contractures and heteroptopic ossification
  • no UE movement
  • voice activated computer
  • positioning in bed in wheelchair
  • limited ability to use mouthstick
  • teach visual communication and direction of others for sensation compensation
  • environmental control units (ECU)- sip n puff, voice, eyebrow, head switch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

C1-C2: orthotics

A
  1. long opponens splint: maintains web space between thumb and hand, supports wrist
  2. dorsal wrist support: prevents wrist drop
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

C3: innervated musculature and available movement

A

C1-C2 +

  • levature scapulae
  • partial diaphragm

mvmt: increased neck stability, control and ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

C3: respiration

A
  • requires ventilator and/or phrenic nerve stimulator (to diaphragm)
  • tracheostomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

C3: sensation

A

head and neck

ASIA: C3 –> supraclavicular fossa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

C3: mobility

A
  • sip n puff w/c

- tilt n’ space w/c (for pressure relief)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

C3: treatment/outcomes

A

C1-C2 +

-increased mobility to use mouthstick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

C3: orthotics

A
  • long opponens splint

- dorsal wrist support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

C4: innervated muscles and available movement

A
  • diaphragm
  • some rhomboids

Mvmt: scapular retraction and elevation (still no UE fx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

C4: respiration

A

FULL RESPIRATION

with decreased capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

C4: sensation

A

shoulder

-ASIA –> AC joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

C4: mobility

A

sip n’ puff w/c (still no UE fx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

C4: treatment and outcomes

A

C1-C3 +
- increased independence with mouth stick –> can use for communication, writing, typing, page turning, dialing, reading, drawing, games

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

C4: orthotics

A
  • dorsal wrist support

- long opponens splint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

C5: innervated muscles and available movement

A
  • biceps
  • supraspinatus
  • teres minor

Partial innervation:
-deltoid, brachioradialis, supinators, pec, subscapularis, infraspinatus, rhomboids, serratus

mvmt: UE function –>
- scapular retraction
- partial SH flexion, abduction, ER
- Elbow flexion and supination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

C5: respiration

A

can breathe but decreased vital capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

C5: sensation

A
  • upper arm
  • belly of biceps

ASIA: lateral aspect of elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

C5: mobility

A
  • joystick power w/c
  • potential for mannual with coated hand rims/projections
  • still need tilt n space for pressure relief
  • driving care with AE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

C5: treatment and outcomes

A
  • feeding and oral/facial hygiene using a BFO (writing, typing, reading, games and cards with AE)
  • ECU: clappers (lights), Alexa
  • assist with UE dressing and bathing
  • ind. power pressure reliefs
  • ROM, sensation compensation (use for eyes, be very vigilant), family/caregiver, training, positioning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

C5: orthotics

A
  • dorsal wrist support
  • long opponens splint
  • Dycem gloves (to increase use of hands)
  • BFO: balance forearm orthosis- attaches to the wheelchair and allows person to use biceps for ADLs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

C6: innervated muscles

A
  • radial wrist extensors
  • more scapular, full deltoid, pecs
  • partial: serratus and pronators
  • FULL Shoulder movement
26
Q

C6: available movements

A
  • full shoulder motion
  • wrist extension
  • forearm pronation
  • big difference in proximal stability of the arm, can place arm with control and intention
  • natural tenodesis: finger and thumb touch when you extend forearm and wrist
27
Q

C6: respiration

A

decreased vital capacity

-assist with cough

28
Q

C6: sensation

A

-lateral aspect of forearm, thumb, and index finger

29
Q

C6: mobility

A
  • standard power w/c for long distances
  • manual ultra-light w/c
  • Transfer: MinA to Ind, may need slide board
  • Can drive with AE from captains chair or w/c
30
Q

C6: treatment and outcomes

A
  • Potential to be Ind with basic ADLs using equipment
  • self-care: feeding with cuff, tenodesis grasp for finger, O/F hygiene, bathing, UE dressing with AE, for toileting, have potential to empty adapted leg bag or self-catheterize
  • LE dressing –> MinA to Ind for tub bench and elevated toilet seat transfers
  • writing and typing with AE

This the level where AE is very useful!!

31
Q

C6: orthoses

A
  • many adaptations to ADL items (cell phone, razor, makeup etc.)
  • short oponens splint –> keep person in functional position for opponens grasp, good for someone who can perform wrist extension
  • Tenodesis splint: supports and allows person to continue and use tenodesis grasp
  • Dycem gloves
32
Q

C7: innervated muscles and actions

A

-TRICEPS
-pecs
-serratus
-lattissimus
-pronators
-wrist extensors
-wrist flexors
-finger extensions
abductor pollicis longus

Movement:

  • elbow extension
  • strong wrist extension
  • functional wrist flexion
  • some finger extension thumb abduction
33
Q

C7: respiration

A
  • can breath on own

- can cough assist

34
Q

C7: sensation

A
  • middle and ring finger

- ASIA: middle finger on dorsal part of hand

35
Q

C7: mobility

A

good endurance in manual ultra-lightweight w/c

  • consistent independent transfers for lateral to level surfaces
  • Assist-Ind for transfers to uneven surfaces
  • lateral and anterior pressure reliefs, poss. push up
36
Q

C7: treatment and outcomes

A
  • self care: Independent with AE for feeding, O/F hygiene, bathing, urinary and bowel care, UE/LE dressing
  • tenodesis grasp should be maintained and utilized
  • independent simple meal prep with AE
37
Q

C7: orthoses

A

short oponens

tenodesis splint

38
Q

C8: muscles innervated and possible movemetns

A

muscles:
- full innervation to scapula, elbow, wrist, and finger flexors, thumb, abductors, wrist flexors

movement:
ALL PROXIMAL UE movement
-partial finger flexion and extension
-thumb flexion, AB/AD

39
Q

C8: respiration

A
  • can breathe on own
  • can cough assist
  • decreased vital capacity
40
Q

C8: sensation

A
  • fifth finger

- ASIA: proximal phalanx of the fifth digit on dorsum of hand

41
Q

C8: mobility

A
  • good endurance in manual ultra lightweight w/c
  • transfers: independent even transfers
  • drives with AE - captains chair or w/c
  • lateral pressure relief, anterior pressure relief, push up on chair arms for relief
42
Q

C8: treatment and outcomes

A
  • self care is independent with feeding, O/F hygiene, bathing, bowel and bladder with equipment
  • UE/LE dressing, light meal prep, light homemaking

*** increased ability for manipulation in hands therefore less AE is required

43
Q

C8: orthoses

A
  • may see a CLAW hand - MP block splint
44
Q

T1-T6: innervated muscles and available movement

A
  • full intrinsic hand muscles
  • top half of intercostals and long mm of back

mvmt: FULL UE, poor-fair trunk control

45
Q

T1-T6: respiration

A

decreased vital capacity but can still breathe on own

46
Q

T1-T6: sensation

A 
ASIA: 
T1: medial aspect of elbow
T2: armpit
T4: nipple line
T6: upper abs
47
Q

T1-T6: mobility

A
  • good endurance with manual ultralight weight w/c
  • IND transfers even off floor
  • drives with hand controls
  • ind-assist with curbs and ramps
  • ambulation w/ leg braces + loftstrand crutches
48
Q

T1-T6: treatment and outcomes

A
  • Teach LE ROM
  • self-care: independent from w/c level; independent dressing in w/c
  • emphasis on trunk balance
49
Q

T1-T6: orthoses

A
  • KAFO (knee ankle foot orthoses)

- Lofstrand crutches

50
Q

T6-T12: innervated muscles and available movement

A

intercostals and abdominals

mvmt: good to normal trunk control

51
Q

T6-T12: respiration

A

-normal vital capacity

52
Q

T6-T12: sensation

A

T10=belly button

53
Q

T6-T12: mobility

A
  • better endurances and trunk control

- may ambulate with long leg braces and loftstrand crutches in house, short distances, functional mobility

54
Q

T6-T12: treatment and outcomes

A
  • Self-care: IND all wheelchair level ADLs

- emphasis on trunk balance from sitting and standing

55
Q

T6-T12: orthoses

A

-KAFO

56
Q

T12-L4: innervated muscles and available movement

A
  • low back muscles
  • hip flexors (L2)
  • knee extensors (L3)
  • Dorsiflexors (L4)

movement:

  • hip flexion
  • knee extension
  • dorsiflexion of ankle
57
Q

T12-L4: respiration

A

normal vital capacity

58
Q

T12-L4: sensation

A
  • T12: inguinal ligament
  • L1,L2: thigh
  • L3: medial aspect of knee
  • L4: medial malleolus
59
Q

T12-L4: mobility

A
  • community ambulation with KAFO (T12-L2), ambulation with AFO (L3),
  • may use w/c for long distances
  • drives with AE
60
Q

T12-L4: treatment and outcomes

A

independent self care!!

61
Q

T12-L4: orthoses

A

KAFO, AFO

624 Adults/Geriatrics (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions