Spinal Cord Injury Levels (self care and play and dermatomes) Flashcards
C1-C3
Self care
Totally dependent in all self-care but can instruct caregivers; can chew and swallow
C4
Self care
Totally dependent in all self-care but can instruct caregivers; can drink from a glass with a long straw
C5
Self care
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
C6
Self care
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
C7
Self care
Independent with equipment as needed
C8-11
Self care
I in all self-care, uses tub bench and HHS
T6-L4
Self care
independent in all self care
C1-C4
Leisure
Anything computer/TV/electronic related using mouthstick, read and paint with head pointer or mouth stick
C5
Leisure
Can independently play computer games, turn pages, board games, crafts, access electronic devices using adaptive equipment
C6-C7
Leisure
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
C8-T11
Leisure
Can do most leisure activities due to good functional use of bilateral UE
CN V
Dermatome Location: Anterior facial region
Muscles facilitated: mastication
Function: ingestion
C3
Dermatome Location: Neck region
Muscles facilitated: sternocliedomastoid, upper trapezius
Function: head control
C4
Dermatome Location: upper shoulder region
Muscles facilitated: trapezius (diaphragm)
Function: head control
C5
Dermatome Location: Lateral aspect of shoulder
Muscles facilitated: deltoid, biceps, rhomboid major minor
Function: elbow flexion
C6
Dermatome Location: thumb and radial forearm
Muscles facilitated: extensor carpi radialis, biceps
Function: shoulder abduction and wrist extension
C7
Dermatome Location: middle finger
Muscles facilitated: triceps, extensors of wrists and fingers
Function: wrist flexion, finger extension
C8
Dermatome Location: little finger, ulnar forearm
Muscles facilitated: flexor of wrists and fingers
Function: c8 finger flexion
T1
Dermatome Location: axilla and proximal medial arm
Muscles facilitated: Hard intrinsics
Function: abduction and adduction of fingers
T2-T12
Dermatome Location: Thorax
Muscles facilitated: intercostals
Function: respiration
T4-T6
Dermatome Location: Nipple line
Muscles facilitated: intercostals
Function: respiration
T11
Dermatome Location: Midchest region, lower rib
Muscles facilitated: abdominal wall, abdominal muscles
Function: T5-7 Superficial abdominal reflex
T10
Dermatome Location: Umbilicus
Muscles facilitated: Psoas, iliacus
Function: leg flexion
L1-L2
Dermatome Location: inside of thigh
Muscles facilitated: cremasteric reflex, accessory muscles
Function: elevation of scrotum
L2
Dermatome Location: Proximal anterior thigh
Muscles facilitated: iliopsoas, adductors of thigh
Function: Reflex voiding
L3-L4
Dermatome Location: anterior knee
Muscles facilitated: quadriceps, tibialis anterior, and detrusor urinae
Function: hip flexion, extensors of knee, abductors of thigh
L5
Dermatome Location: Great toe
Muscles facilitated: lateral hamstrings
Function: flexion at knee, toe extension
L5-S1
Dermatome Location: foot region
Muscles facilitated: gastrocnemius, soleus, extensor digitorum longus
Function: flexor withdrawal, urinary retention
S2
Dermatome Location: narrow band of posterior thigh
Muscles facilitated: small muscles of foot
Function: bladder retention
