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That one thing you need > SCI Levels > Flashcards

SCI Levels Flashcards

1
Q

C1-C4 SCI

A
  • 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
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2
Q

How often should pressure reliefs be done?

A

Every 30 mins!

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3
Q

What movement does a C1-C4 patient have?

A

Head and neck flexion, extension, and rotation

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4
Q

C5 SCI

A
  • 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
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5
Q

What adaptive equipment is appropriate for a client with a C5 SCI?

A
  • Mobile arm support
  • Long opponens splint (for a pen, or paintbrush e.g.)
  • Wrist cock up (for support)
  • Universal cuff
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6
Q

C6 SCI

A
  • 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!
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7
Q

What movement does SCI level C6 now have?

A

-Elbow flexion (innervation to biceps)

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8
Q

At what SCI levels can the pt use a manual WC for short distances and may drive a vehicle with hand controls?

A

SCI C6-C8

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9
Q

What adaptive equipment can a SCI C6 pt now use?

A

Wrist-driven flexor hinge (Tenodesis splint!)

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10
Q

SCI C7

A
  • 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
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11
Q

At what SCI level is a patient primarily independent in personal care, but still requires partial assistance for heavy-duty domestic care?

A

SCI level C8

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12
Q

At what level can SCI pt do own depression transfers?

A

SCI C7-now have elbow extension and full shoulder strength

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13
Q

At what SCI level is a pt independent in transfers?

A

C7–now have elbow extension and full shoulder strength

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14
Q

At what SCI level can a pt have an electric hospital bed OR a standard bed?

A

SCI C6

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15
Q

SCI C 8

A
  • 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
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16
Q

What movements do a SCI C 7 pt have?

A

Full head and neck; ability to raise arms and flex and extend elbows; wrist flexion and extension; partial finger movement

17
Q

SCI T1-T5

A
  • 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
18
Q

At what SCI level is a pt independent in personal care (still requires partial assistance for heavy-duty domestic care)?

A

SCI T1-T5

19
Q

At what SCI level does a pt have normal UE ROM and strength?

A

SCI T1 and lower

20
Q

SCI T6-T12

A
  • 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
21
Q

At What SCI level can a pt use a manual WC full time?

A

T1-T5

22
Q

At what SCI level may a pt use a manual WC OR stand in standing frame or walk with braces?

A

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

23
Q

SCI L1-L5

A
  • 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
24
Q

At what SCI level may a pt use a WC OR walk with braces?

A

SCI L1-L5.

-At T6-T12, pt may use a WC, stand in standing frame or walk with braces

25
Q

SCI S1-S5

A
  • 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
26
Q

At what SCI level does a pt have partial paralysis in hips and legs?

A

SCI L1-L5.

-At S1-S5 you have some loss of function in hips and legs

27
Q

What what SCI level does a pt have some loss of function in hips and legs ?

A

SCI S1-S5

-At SCI L1-L5, pt has partial paralysis in hips and legs

28
Q

At what SCI level is a pt likely able to walk with assistance or aids, though slowly and with difficulty?

A

SCI S1-S5

Can also load WC into car independently

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