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PT 642 DDxI Adult Neuro > SCI Functional Expectations Table > Flashcards

SCI Functional Expectations Table Flashcards

1
Q

key muscles C1-4

A

face and neck muscles
CN
partial diaphragm

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2
Q

available movements C1-4

A

talking, mastication, sipping, blowing, scapular elevation

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3
Q

key muscles C5

A

biceps
brachialis
brachioradialis
supinator
deltoid
rhomboids
infraspinatus
full diaphragm

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4
Q

available movements C5

A

elbow flexion and supination
shoulder ER, and abduction and flexion to 90

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5
Q

key muscles C6

A

extensor carpia radialis, infraspinatus, latissimus dorsi, pectoralis major (clavicular), pronator teres, serratus anterior, teres minor

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6
Q

available movements C6

A

shoulder: flex, ext, IR, add
scapular: abd, protraction, upward rotation
FA: pronation
wrist: extension

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7
Q

what leave does tenodesis emerge

A

C6

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8
Q

key muscles C7

A

extensor pollicis longus and brevis, extrinsic finger extensors, flexor carpi radialis, triceps

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9
Q

available movements C7

A

elbow extension, wrist flexion, finger extension

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10
Q

key muscles C8

A

extrinsic finger flexors, flexor carpi ulnaris, flexor pollicus longus and brevis, intrinsic finger flexors

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11
Q

what level do finger flexors develop

A

C8

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12
Q

key muscles T1-12

A

intercostals, long back muscles, abdominals (T7 and below), breathing

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13
Q

available movements T1-12

A

improves trunk control with more caudal injury, increased respiratory reserve, pectoral glide stabilized for lifting objects

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14
Q

key muscles L1-3

A

gracilis, iliopsoas, quadtratus lumborum, rectus femoris, sartorius

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15
Q

available movements L1-3

A

hip: flex, add,
knee: ext

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16
Q

key muscles L4-S1

A

quadriceps (L4), anterior tibialis (L5), HS (L5, S1), gastroc (S1), glut max and med (L5, S1), extensor digitorum, posterior tibialis, peroneals, flexor digitorum (L5, S1)

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17
Q

available movements L4-S1

A

strong hip flexion, strong knee extension, knee flexion, ankle DF/PF/eversion, toe extension

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18
Q

ADL for C4

A

dependent

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19
Q

feeding for C4

A

dependent

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20
Q

grooming for C4

A

dependent

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21
Q

dressing for C4

A

dependent

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22
Q

bathing C4

A

dependent

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23
Q

home management C4

A

dependent/environmental control units (ECU)

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24
Q

bowel and bladder care C4

A

dependent, directs care

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25
Q

WC mobility and pressure relief C4

A

independent power WC, adaptive controls
tilt in space for pressure relief
possible portable ventilator

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26
Q

bed mobility C4

A

dependent

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27
Q

transfers C4

A

dependent, mechanical lift

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28
Q

ambulation C4

A

unable

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29
Q

driving C4

A

unable

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30
Q

ADL C5

A

some assist or setup required
adaptive equipment
part time attendant required for ADLs (possible full time)
direct care

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31
Q

feeding C5

A

adaptive utensils/splinting

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32
Q

grooming C5

A

adaptive equipment

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33
Q

dressing C5

A

dependent

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34
Q

bathing C5

A

dependent

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35
Q

home management C5

A

dependent, ECU, directs care of attendant for all ADL’s as needed
part time attendant still required for ADL’s, possible full time

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36
Q

home management C5

A

dependent, ECU, directs care of attendant for all ADL’s as needed
part time attendant still required for ADL’s, possible full time

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37
Q

home management C5

A

dependent, ECU, directs care of attendant for all ADL’s as needed
part time attendant still required for ADL’s, possible full time

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38
Q

bowel and bladder care C5

A

dependent, directs care

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39
Q

WC mobility and pressure relief

A

independent with some assist with manual WC on LEVEL surfaces - needs plastic coated rims/extensions
benefits from power WC independent
tilt in space for pressure relief
may be able to pressure relief in manual WC

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40
Q

bed mobility C5

A

assist to dependent

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41
Q

transfers C5

A

may be able to perform with assist/transfer board
may need mechanical lift
directs care

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42
Q

ambulation C5

A

unable

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43
Q

driving C5

A

independent with van with adaptive controls

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44
Q

ADL C6

A

assist to independent with setup/equipment
part time attendant required

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45
Q

feeding C6

A

assist to independent with adaptive utensils/cuff

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46
Q

grooming C6

A

assist to independent/adaptive equipment

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47
Q

dressing C6

A

independent with upper body with adaptive equipment
assist with lower body and adaptive equipment

48
Q

bathing C6

A

independent with upper body with adaptive equipment
assist with lower body and adaptive equipment

49
Q

home management C6

A

assist with adaptive equipment
may be independent with certain tasks
partime attendant required

50
Q

bowel and bladder care C6

A

may be independent with adaptive equipment
likely needs assist/dependent

51
Q

WC mobility and pressure relief C6

A

independent with manual WC on level surfaces and community
may need assist in community with manual WC
may require power WC in community
requires plastic coated hand rims/extensions
independent with pressure relief in WC

52
Q

bed mobility C6

A

independent with some assist with adaptive equipment and/or electric bed

53
Q

transfers C6

A

independent to some assist level surfaces using transfer board
assist required for uneven surfaces

54
Q

ambulation C6

A

unable

55
Q

driving C6

A

independent with car with adaptive controls

56
Q

ADL C7

A

independent in WC accessible environment

57
Q

feeding C7

A

independent with adaptive utensils

58
Q

grooming C7

A

independent with adaptive equipment

59
Q

dressing C7

A

independent UE and LE with adaptive equipment

60
Q

bathing C7

A

independent with adaptive equipment, shower chair, hand rails in WC accessible environment

61
Q

home management C7

A

independent for many tasks, will require assist for heavy household tasks

62
Q

bowel and bladder C7

A

independent with adaptive equipment

63
Q

WC mobility and pressure relief in WC C7

A

independent with manual WC in home and community with plastic coated hand rims
may need some assist with ramps and curbs/uneven terrain
may benefit from power assist
independence with pressure relief

64
Q

bed mobility C7

A

independent, may require adaptive equipment (bed rails/leg loops_

65
Q

transfers C7

A

independent, may require assist between uneven surfaces

66
Q

ambulation C7

A

unable

67
Q

driving C7

A

independent with car with adaptive controls

68
Q

ADLs C8

A

independent with WC accessible environment, less need for adaptive equipment due to improve hand function

69
Q

feeding C8

A

independent with adaptive utensils

70
Q

grooming C8

A

independent with adaptive equipment

71
Q

dressing C8

A

independent UE and LE with adaptive equipment

72
Q

bathing C8

A

independent with adaptive equipment, shower chair, hand rails in WC accessible environment

73
Q

home management C8

A

independent for many tasks, will require assist for heavy household tasks

74
Q

bowel and bladder C8

A

independent with adaptive equipment

75
Q

WC mobility and pressure relief C8

A

independent with manual WC in home and community
better able to propel on ramps and curbs/uneven terrain
may need assist on uneven surfaces
may benefit from power assist
independent in pressure relief

76
Q

bed mobility C8

A

independent, may require adaptive equipment (bed rails/leg loops)

77
Q

transfers C8

A

independent, may require assist between uneven surfaces
may be able to transfer from floor to WC

78
Q

ambulation C8

A

unable

79
Q

driving C8

A

independent with car with adaptive controls

80
Q

ADL T1-12

A

independent in all areas (easier with more caudal injury)

81
Q

feeding T1-12

A

independent

82
Q

grooming T1-12

A

independent

83
Q

dressing T1-12

A

independent

84
Q

bathing T1-12

A

independent with shower chair/hand rails
WC accessible environment

85
Q

home management T1-12

A

independent
may require assist for heavy household tasks

86
Q

bowel and bladder T1-12

A

independent with adaptive equipment

87
Q

WC mobility and pressure relief T1-12

A

independent in home and community with manual AC
independent with ramps/curbs/uneven terrain
WC mobility more efficient with more caudal injury

88
Q

bed mobility T1-12

A

indepenent

89
Q

transfersT1-12

A

independent
able to transfer from floor to WC
easier with more caudal injury

90
Q

ambulation T1-12

A

independent with physiological standing and ambulation for exercise over short distances in home (HKAFO/KAFO) and AD

91
Q

driving T1-12

A

independent with car with adaptive controls

92
Q

ADL L1-3

A

independent

93
Q

feeding L1-3

A

independent

94
Q

grooming L1-3

A

independent

95
Q

dressing L1-3

A

independent

96
Q

bathing L1-3

A

independent

97
Q

home management L1-3

A

independent

98
Q

bowel and bladder L1-3

A

independent

99
Q

WC mobility and pressure relief L1-3

A

independent - may choose WC use in community due to high energy demands of community ambulation

100
Q

bed mobility L1-3

A

independent

101
Q

transfers L1-3

A

independent

102
Q

ambulation L1-3

A

independent with short distances in home and possible community (HKAFO, KAFO, AFO) and AD (FA crutches)

103
Q

driving L1-3

A

independent with adaptive controls

104
Q

ADLs L4-S1

A

independent

105
Q

feeding L4-S1

A

independent

106
Q

grooming L4-S1

A

independent

107
Q

dressing L4-S1

A

independent

108
Q

bathing L4-S1

A

independent

109
Q

home management L4-S1

A

independent

110
Q

bowel and bladder L4-S1

A

independent

111
Q

WC mobility and pressure relief

A

independent
injury L4 may elect to use WC for long distances
lower injuries may not need WC

112
Q

bed mobility L4-S1

A

independent

113
Q

transfers L4-S1

A

independent

114
Q

ambulation L4-S1

A

independent ambulation in home and community (L4 may elect WC for long distance)
AD (FA crutches, canes)
AFO
less supportive AD and orthoses with more caudal injuries

115
Q

driving L4-S1

A

independent
may need adaptive control dependent on injury level

PT 642 DDxI Adult Neuro (15 decks)

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