SCI Goal Setting Flashcards
1
Q
Prognostic factors in SCI
A
- Initial severity (most significant)
- age
- complete injuries
- mechanism of injury
- level of SCI (for complete–cervical more incapacitating; thoracic less potential for recovery)
2
Q
Factors to consider with Goal Setting
A
- rehab length of stay
- other injuries/co-morbidities
- patient’s personality
- pt/family goals (are they realistic?)
- Socioeconomic factors
3
Q
C1-3 Mm
A
face, neck
cranial nerves
4
Q
C1-3 Functional Goals
A
- respirator dependent (can’t clear secretions)
- full time attendant (postural drainage, assisted cough)
- talk, chew, swallow
- sip, blow
- sip-and-puff wheelchair
- educate family/caregivers
5
Q
C4 Mm
A
- diaphragm
- traps
- levator scap
- rhomboids
- supra/infraspinatus
6
Q
C4 Functional Goals
A
- use of mouthstick
- no ventilator
- educate caregivers/family
7
Q
C5 Mm
A
- Teres major/minor
- supra/infraspinatus
- deltoids
- coracobrachialis
- biceps
- brachialis
- brachioradialis
- supinator
8
Q
C5 Functional Goals
A
- feeding with adapted utensils
- grooming/oral hygiene
- dressing UE
- power w/c
- limited manual w/c (but slow/endurance)
- limited functional mobility
- part time care attendant
9
Q
C6 Mm
A
- wrist ext
- lat dorsi
- serratus
- pronator teres
- pecs
- teres minor
10
Q
C6 Functional Goals
A
- pressure relief
- dressing
- transfers/bed mobility
- sliding board transfer
- drive with adaptions
- manual w/c
- power w/c
11
Q
C7 Mm
A
- triceps
- wrist flex
- pecs
- ext pollicis long/brev
- extrensic finger ext
- flexor carpi radialis
12
Q
Transfer Goal Components
A
- type
- equipment
- environment
- level of assistance
- movement pattern/compensatory strategies
13
Q
C7 Functional Goals
A
- manual w/c mobility
- transfers
- seated ADL’s
- dressing
- feeding/ADLs
- bowel/bladder care with adapted equip
- drive with adaptive
- write/type
- floor transfers
- pull w/c into car
- self ROM
- housekeeping
- push up pressure relief
14
Q
C8-T1 Mm
A
- finger flexors
- finger abductors
- flexor carpi ulnaris
- flexor pollicis long/brev
15
Q
C8-T1 Functional Goals
A
- manipulate/grasp
- eat with utensils
- brush teeth
- play instruments
- unlevel terrain/ramps/wheelies in manual w/c
- bowel/bladder care
- floor transfers
- arm bike
16
Q
T4-6 Mm
A
- upper Intercostals
- upper long back Mm
17
Q
T4-6 Functional Goals
A
- manual w/c
- standing frame (physiologic standing)
- floor transfers
- respiration improved
- wheelies/curbs
- less need for attendant
18
Q
T9-T12 Mm
A
- Abdominals
- long back Mm
- sacrospinalis
- lower intercostals
19
Q
T9-12 Functional Goals
A
- adapted sports
- ADL’s
- ambulation (KAFO, Lofstrand, walker)
20
Q
L2-L4 Mm
A
- hip flexors
- hip adductors
- QL
- Rectus fem
- Sartorius
21
Q
L2-4 Functional Goals
A
- functional ambu
- loftstrand
- KAFO, AFO
22
Q
L4-5 Mm
A
- quads
- ant tib
- gastroc
- gluts
- ext dig
- post tib
- flex dig
- peroneals
23
Q
L4-5 Functional Goals
A
- Ambulation crutch/cane
- AFO
