Spinal Cord Injury and Function Flashcards
1
Q
Functional Ability SCI - C1-C3
A
- -capable of talking, mastication, sipping, blowing Key muscles: face and neck
- Self care - dependent
- Requires portable ventilator or phrenic nerve stimulator, power “tilt in space” wheel chair w/ mouth control and seatbelt for trunk control
- *C3 = wheelchair independence w/ ^ equipment on smooth/level surfaces
- Assistive technology devices (ATD) and electronic aids to daily living EADLs make interaction with or mastery of environment feasible
2
Q
Functional Ability SCI - C4
A
- capable of respiration, scapular elevation
- KM: diaphragm and trapezius
- ventilator not needed
- glossopharyngeal breathing is used to cough
- chin control required to operate wheelchair
- limited feeding and ADLs may be possible with the use of mobile arm supports, environmental controls, adapted eating equipment, head or mouth stick, and other AD
3
Q
Functional Ability SCI - C5
A
- Capable of elbow flexion/supination, shoulder ER/ABD to 90/limited shoulder flex
- KM: biceps, brachialis, brachioradialis, deltoid, infraspinatous, rhomboids, and supinator
- Mobile arm supports assist UE ADLs
- Mod-min assist w/ LE dressing/rolling
- Dependent transfers with the aid of a sliding board or swivel bar
- Power chair w/ hand controls for community integration
- Manual wheel chair w/ rim projectors 200-300 feet indoors
- Driving possible w/ van lift
- may achieve pressure relief but prob depend
- Needs assist for manual cough technique
4
Q
Functional Ability SCI - C6
A
- Capable of shoulder flex/ext/IR/add/scap ABD/scap UR/FA pron/wrist ext (tenodesis)
- KM: ECR, Infraspinatus, lats, pec major, serratus and teres minor
- Self care: independent w/ equipment
- Independent w/ rolling and unsupporting sitting (long term goals)
- Power WC for community
- Manual wheel chair for household
- Locks on caster positioned sideways for transfers
- Independent: manual cough, living if motivated, driving w/ hand controls
5
Q
Functional Ability SCI - C7
A
- impaired cough and ability to clear secretions, altered breathing pattern and poor endurance
- Capable of elbow extension, wrist flexion and finger extension
- KM: EPL, EPB, Extrinsic extensors, FCR and TRICEPS
- Independent: LE self ROM exercises and getting in/out car
- Manual wheel chair w/ friction hand rims for community and some rough terrain
- Button hook required for dressing
- independent with driving and adapted automobile
6
Q
Functional Ability SCI - C8
A
- capable of full use of all UE muscles except intrinsics of hands
- KM: extrinsic finger flexors, FCU, FPL, FPB
- Independent in living at home w/ modification
- May be independent w/ going up/down curbs w/ manual WC
- able to work in building free from architechtual barriers
7
Q
Functional Ability SCI - T1-T5
A
- Capable of use of full UE, improved trunk control, increased respiratory reserve
- KM: top half of intercostals, long ms of back, intrinsic finger flexors,
- Independent in all areas including car transfers
- Standing table for physiologic standing
- able to negotiate curbs using a “wheelie”
- participates in WC sports
8
Q
Functional Ability SCI - T6-T8
A
- Capable of improved trunk control, increased respiratory reserve
- KM: long ms of back including sacrospinalis and semispinalis
- Independent in swing-to gait in // bars w/ bilateral KAFOs for short distances
- Supervision w/ walker and KAFOs at home
- WC for community ambulation
9
Q
Functional Ability SCI - T9-T12
A
- Capable of improved endurance and improved trunk control
- KM: lower abdominals, intercostals
- Independent w/ swing to/thru gait on level surfaces w/ bilat KAFOs and walker/FA crutch
- Independent floor to WC and tub transfers
- May be independent household ambulators
- will usually use WC for outdoor amb and energy conservation
10
Q
Functional Ability SCI - T12-L3
A
- Capable of hip flexion, adduction, knee ext
- KM: gracilis, iliopsoas, QL, rectus fem, sartorius
- Independent: swing to/thru/4 point gait with bilateral KAFOs and FA crutches on level surfaces and small elevations.
- Independent w/ home ambulation, WC for community, but CAN be community ambulator
11
Q
Functional Ability SCI - L4-L5
A
- Capable of strong hip flexion and knee extension, weak knee flexion and improved trunk control
- KM: low back ms, medial hams (weak), posterior tib, quads, TA
- Independent home ambulation
- can be community ambulators
- may use wheel chair for convenience or energy conservation