SCI Levels Flashcards
C1-C4 SCI
- High cervical
- Ventilator please! Don’t forget your generator!
- Total A for personal and domestic care
- Movement: limited head and neck movement; tetraplegia
- Nervous system: sympathetic nervous system compromised; possible autonomic dysreflexia; no bowel or bladder control
- Mobility: electric wheelchair with sip and puff, chin, head or breath control
- Power tilt WC!
- Hospital bed
How often should pressure reliefs be done?
Every 30 mins!
What movement does a C1-C4 patient have?
Head and neck flexion, extension, and rotation
C5 SCI
- C5: think of pooh!
- Universal cuffs please! Cuz you got NO wrist or hand movement!
- Low stamina, but breathing with diaphragm
- Complete A for personal and domestic care
- Movement: full head and neck; ability to raise arms and flex elbows (no extension)
- Nervous system: sympathetic nervous system compromised; possible autonomic dysreflexia; no bowel or bladder control
- Mobility: electric WC with hand controls
- Hospital bed
What adaptive equipment is appropriate for a client with a C5 SCI?
- Mobile arm support
- Long opponens splint (for a pen, or paintbrush e.g.)
- Wrist cock up (for support)
- Universal cuff
C6 SCI
- C6: You got tenodesis grasp! Snow white!
- Transitions from fancy hospital bed to standard bed
- Medical management: low stamina, but breathing with diaphragm; moderate A for personal care; complete A for domestic care
- Movement: full head and neck; ability to raise arms and flex elbows (no extension); some wrist extension
- Nervous system: little bowel or bladder control
- Mobility: electric WC with hand controls; manual WC for short distances; may drive a vehicle with hand controls
- Own skin inspections!
What movement does SCI level C6 now have?
-Elbow flexion (innervation to biceps)
At what SCI levels can the pt use a manual WC for short distances and may drive a vehicle with hand controls?
SCI C6-C8
What adaptive equipment can a SCI C6 pt now use?
Wrist-driven flexor hinge (Tenodesis splint!)
SCI C7
- C7: Arial!
- Push up and lift, bitch, cuz you got those triceps!
- Full shoulder strength
- Elbow extension
- Medical management: low stamina, but breathing with diaphragm; limited assistance for personal care; partial assistance for heavy-duty domestic care
- Movement: full head and neck; ability to raise arms and flex and extend elbows; wrist flexion and extension; partial finger movement
- Nervous system: little bowel or bladder control
- Mobility: independent transfers; electric WC with hand controls, manual WC for short distances; may drive with hand controls
At what SCI level is a patient primarily independent in personal care, but still requires partial assistance for heavy-duty domestic care?
SCI level C8
At what level can SCI pt do own depression transfers?
SCI C7-now have elbow extension and full shoulder strength
At what SCI level is a pt independent in transfers?
C7–now have elbow extension and full shoulder strength
At what SCI level can a pt have an electric hospital bed OR a standard bed?
SCI C6
SCI C 8
- C8: 8th grade graduation
- Moving on up towards greater independence!
- Key functional outcome: Finger flexion/extension/ abduction
- Electrical hospital OR standard bed
- Movement: full head and neck; ability to raise arms and flex and extend elbows; wrist flexion and extension; partial finger movement
- Nervous system: little bowel or bladder control
- Mobility: independent transfers; electric wheelchair with hand controls; manual WC for short distances; may drive with hand controls
What movements do a SCI C 7 pt have?
Full head and neck; ability to raise arms and flex and extend elbows; wrist flexion and extension; partial finger movement
SCI T1-T5
- Medical management: respiration capacity and endurance may be compromised; independent in personal care
- Movement: normal UE ROM and strength
- Nervous system: little bowel or bladder control
- Mobility: independent transfers; manual WC; may drive with hand controls
At what SCI level is a pt independent in personal care (still requires partial assistance for heavy-duty domestic care)?
SCI T1-T5
At what SCI level does a pt have normal UE ROM and strength?
SCI T1 and lower
SCI T6-T12
- Medical management: respiration capacity and endurance may be compromised; independent in personal care; partial assistance for heavy-duty domestic care
- Movement: normal UE ROM and strength
- Nervous system: little bowel or bladder control
- Mobility: independent transfers, may use manual WC or may stand in standing frame or walk with braces; may drive with hand controls
At What SCI level can a pt use a manual WC full time?
T1-T5
At what SCI level may a pt use a manual WC OR stand in standing frame or walk with braces?
SCI level T6-T12
At L1-L5, pt probably will not stand in standing frame. They will either use a manual SC or walk with braces
SCI L1-L5
- Medical management: normal respiratory system; independent in personal care; partial assistance for heavy-duty domestic care
- Movement: normal UE ROM and strength; partial paralysis in hips and legs
- Nervous system: little bowel or bladder control
- Mobility: independent transfers; may use manual wheelchair or may walk with braces; may drive with hand controls
At what SCI level may a pt use a WC OR walk with braces?
SCI L1-L5.
-At T6-T12, pt may use a WC, stand in standing frame or walk with braces
SCI S1-S5
- Medical management: independent in personal care; partial assistance for heavy duty domestic care
- Movement: normal UE ROM and strength; some loss of function in hips and legs
- Nervous system: little bowel or bladder control
- Mobility: independent transfers; likely able to walk with assistance or aids, though slowly and with difficulty; may drive with hand controls and load WC into car independently
At what SCI level does a pt have partial paralysis in hips and legs?
SCI L1-L5.
-At S1-S5 you have some loss of function in hips and legs
What what SCI level does a pt have some loss of function in hips and legs ?
SCI S1-S5
-At SCI L1-L5, pt has partial paralysis in hips and legs
At what SCI level is a pt likely able to walk with assistance or aids, though slowly and with difficulty?
SCI S1-S5
Can also load WC into car independently
