Spinal Cord Injury Flashcards
Complete lesion - SCI
in the absence of motor/sensory function below the level of injury
Incomplete lesion - SCI
involve a number of neurological segments and sensorimotor function may be partially or completely intact.
syringomyelia
growing cyst in spinal cord
myelomeningocele
birth defect caused when the backbone and spinal canal do not close before birth
C1-C4
respiratory assistance required
complete assistance for personal care
Movement
- limited head/neck movement
- quadriplegia
- no bowel/bladder control
Mobility
-electric w/c w/sip and puff
C5
low stamina, but breathing w/diaphragm
complete assistance for personal care
Movement
- full head/neck
- raise arms
- flex elbows (no extension)
- no bowel/bladder control
AE
- use mobile arm support (due to weakness)
- use dorsal wrist braces w/pockets for utensils
Mobility
- electric w/c w/hand controls (dorsal wrist splint)
- dorsal wrist splints to push w/c (projection rims) for short distances
C6
low stamina, breathing w/diaphragm
mod assist for personal care (will be able to be Indep w/cares)
Movement
- full head/neck
- raise arms
- flex elbows (no extension)
- wrist extension
- little or no bowel/bladder control (digital stim)
AE
- slide board transfers
- tenodesis splint - clean self-catheterization
*tenodesis splint (flexor hinge hand orthoses) for pinch
Mobility
- electric w/c w/hand controls
- manual w/c for short distances
- driving w/special hand controls
C7
low stamina, but breathing w/diaphragm
limited assistance for personal care (will be able to be Indep w/cares)
Movement
- full head/neck
- raise arms
- flex elbows (no extension)
- wrist extension
- Wrist flexion
- partial finger movement
- little or no bowel/bladder control (digital stim)
AE
-tenodesis splint - clean self-catheterization
Mobility
- Indep transfers
- electric w/c w/hand controls
- manual w/c for short distances
- driving w/special hand controls
C8
low stamina
-Indep for personal cares
Movement
- full head/neck
- raise arms
- flex elbows (no extension)
- wrist extension
- Wrist flexion
- partial finger movement
AE
- No longer needs tenodesis splint
- balance is better
Mobility
- Indep transfers
- electric w/c w/hand controls
- manual w/c for short distances
- driving w/special hand controls
T1-T5
Normal UE ROM and strength
Mobility
-Manual w/c
T6-T12
Normal UE ROM and strength
Mobility
- Manual w/c
- standing frame/walk w/braces
- Swing through gait (T6)
- 2 point alternating gait (T12)
L1-L5
Normal UE ROM and strength
partial paralysis in hip/legs
Mobility
- Indep transfers
- manual w/c
- walk w/braces
-2 point alternating gait patter w/short leg braces
S1-S5
Normal UE ROM and strength
some loss of function in hips/legs
-bowel/bladder function!
Mobility
- Indep w/transfers
- able to walk w/assistance or aids
Autonomic dysreflexia can be addressed by
standing the client up
loosening restrictive clothing/devices
checking catheter for obstruction
