Spinal Cord Injury Levels (self care and play and dermatomes) Flashcards

1
Q

C1-C3

Self care

A

Totally dependent in all self-care but can instruct caregivers; can chew and swallow

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2
Q

C4

Self care

A

Totally dependent in all self-care but can instruct caregivers; can drink from a glass with a long straw

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3
Q

C5

Self care

A

Feeding requires total assist for setup, then independent with equipment.
Dressing requires min-mod assistance with UB, Dependent for LB, bathing requires min-mod, and grooming requires assistance with set up

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4
Q

C6

Self care

A

Feeding: independent with adaptive equipment
Dressing: independent in LB dressing performed in bed, max assist with socks and shoes, independent with UB dressing using equipment
Bathing - min assist, grooming independent

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5
Q

C7

Self care

A

Independent with equipment as needed

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6
Q

C8-11

Self care

A

I in all self-care, uses tub bench and HHS

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7
Q

T6-L4

Self care

A

independent in all self care

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8
Q

C1-C4

Leisure

A

Anything computer/TV/electronic related using mouthstick, read and paint with head pointer or mouth stick

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9
Q

C5

Leisure

A

Can independently play computer games, turn pages, board games, crafts, access electronic devices using adaptive equipment

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10
Q

C6-C7

Leisure

A

Can hold phone, typing stick, and pen with tenodesis grasp
Can do crafts, turn pages, use computer, access electronic devices independently using tenodesis grasp
Board games and w/c sports

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11
Q

C8-T11

Leisure

A

Can do most leisure activities due to good functional use of bilateral UE

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12
Q

CN V

A

Dermatome Location: Anterior facial region
Muscles facilitated: mastication
Function: ingestion

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13
Q

C3

A

Dermatome Location: Neck region
Muscles facilitated: sternocliedomastoid, upper trapezius
Function: head control

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14
Q

C4

A

Dermatome Location: upper shoulder region
Muscles facilitated: trapezius (diaphragm)
Function: head control

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15
Q

C5

A

Dermatome Location: Lateral aspect of shoulder
Muscles facilitated: deltoid, biceps, rhomboid major minor
Function: elbow flexion

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16
Q

C6

A

Dermatome Location: thumb and radial forearm
Muscles facilitated: extensor carpi radialis, biceps
Function: shoulder abduction and wrist extension

17
Q

C7

A

Dermatome Location: middle finger
Muscles facilitated: triceps, extensors of wrists and fingers
Function: wrist flexion, finger extension

18
Q

C8

A

Dermatome Location: little finger, ulnar forearm
Muscles facilitated: flexor of wrists and fingers
Function: c8 finger flexion

19
Q

T1

A

Dermatome Location: axilla and proximal medial arm
Muscles facilitated: Hard intrinsics
Function: abduction and adduction of fingers

20
Q

T2-T12

A

Dermatome Location: Thorax
Muscles facilitated: intercostals
Function: respiration

21
Q

T4-T6

A

Dermatome Location: Nipple line
Muscles facilitated: intercostals
Function: respiration

22
Q

T11

A

Dermatome Location: Midchest region, lower rib
Muscles facilitated: abdominal wall, abdominal muscles
Function: T5-7 Superficial abdominal reflex

23
Q

T10

A

Dermatome Location: Umbilicus
Muscles facilitated: Psoas, iliacus
Function: leg flexion

24
Q

L1-L2

A

Dermatome Location: inside of thigh
Muscles facilitated: cremasteric reflex, accessory muscles
Function: elevation of scrotum

25
Q

L2

A

Dermatome Location: Proximal anterior thigh
Muscles facilitated: iliopsoas, adductors of thigh
Function: Reflex voiding

26
Q

L3-L4

A

Dermatome Location: anterior knee
Muscles facilitated: quadriceps, tibialis anterior, and detrusor urinae
Function: hip flexion, extensors of knee, abductors of thigh

27
Q

L5

A

Dermatome Location: Great toe
Muscles facilitated: lateral hamstrings
Function: flexion at knee, toe extension

28
Q

L5-S1

A

Dermatome Location: foot region
Muscles facilitated: gastrocnemius, soleus, extensor digitorum longus
Function: flexor withdrawal, urinary retention

29
Q

S2

A

Dermatome Location: narrow band of posterior thigh
Muscles facilitated: small muscles of foot
Function: bladder retention