spinal cord involvment levels Flashcards
what is the typical presentation for C1-C3
Muscle Available
Facial muscles
Limited neck control
Ventilator dependent
May be able to wean for very short periods using glossopharyngeal breathing
what is the typical presentation for C4
Muscles Available
Diaphragm
Trapezius
Levator scapulae, Rhomboids
Available Movements
BREATH INDEPENDENT of VENT!!!
Scapular elevation
what is the typical presentation for C5
Muscles Available
Deltoid
Biceps brachii
Brachialis
Brachioradialis
Infraspinatus/teres minor
Supinator
Operate power w/c with joystick
what is the typical presentation for C6
Muscles available
Pectoralis major – clavicular portion
Serratus anterior
Latissimus Dorsi
Extensor Carpi Radialis
Pronator Teres
Significantly > functional potential than above levels
what is the typical presentation for C7
Muscles Available
Pec major – sternal portion
TRICEPS
Flexor carpi radialis
Extensor pollicis longus/brevis
Extrinsic finger extensors
Potential for independent function
what is the typical presentation for C8-T1
Muscles Available
Extrinsic finger flexors
Flexor Carpi Ulnaris
Flexor pollicis longus/brevis
Intrinsic finger flexors
Movements Available
FINE MOTOR SKILLS
what are the functional out comes for c1-C3
dependent bed mobility
dependent transfers
wheelchair mobility: Power w/c (specialty controls): Independent household, Supervivised community
Anticipatied: Ventilator
Power TIS w/c – specialty controls
Manual TIS w/c
Hospital bed
Mechanical Lift
ECU
What are the functional outcomes for some with a c4 scj
dependent bed mobility
dependent transfers
wheelchair mobility: Power w/c (specialty controls): Independent household, Supervivised community
Anticipatied: Ventilator
Power TIS w/c – specialty controls
Manual TIS w/c
Hospital bed
Mechanical Lift
ECU
What are the functional outcomes for some with a c5 scj
bed mobility: significant assist to dependent
Transfers: significant assist to dependent
wheelchair mobility: Power w/c (joystick): I
Manual: some Assit -Idependent in home level/uncarpeted; Assit outdoors
Power TIS w/c
Manual w/c
Hospital bed
Adapted ADL equipment
Mechanical Lift
Transfer board
ECU
What are the functional outcomes for some with a c6 scj
bed mobility: significant assist to independent
Transfers: even ground: some assist to independent
Uneven ground: assist to dependent
wheelchair mobility: Power w/c (joystick): Power w/c: Iindependent
Manual: Independent indoors, some –total Assist outdoors
Hospital bed
Transfer board
Adapted ADL equipment
Power w/c
Manual w/c
What are the functional outcomes for some with a c7 scj
bed mobility: significant assist to independent
Transfers: even ground: independent
Uneven ground: some assist
wheelchair mobility: Power w/c (joystick): Power w/c: Power w/c: Independent
Manual w/c: Independent indoors; some Assist to Independent outdoors.
Power w/c &/or manual w/c
Hospital bed
Transfer board
Adapted ADL equipment
What are the functional outcomes for some with a c8-t1 scj
bed mobility: independent
Transfers: even ground: independent
Uneven ground: some assist to independent
wheelchair mobility: Power w/c (joystick): Power w/c: Manual w/c: Independent indoor and outdoors
Manual w/c (some require power)
Transfer board
what is the typical presentation for t2-t6
Muscles Available
Full UE
Partial intercostals
Partial back extensors
Function
Independent all mobility & ADLs at manual w/c level
what is the typical presentation for t7-L1
Muscles Available
Full UE
Intercostals (partial – full)
Abdominals (extend dependent on level)
Back extensors (extent dependent on level)
Decreased risk of AD
Function
Improved effective cough
Independent all mobility & ADLs at manual w/c level
what is the typical presentation for L2-L5
Muscles available
L2 – hip flexors/adductors
L3 – knee extension (weak)
L4 – ankle DF (weak)
L5 – hip abd, knee flexion (weak), ankle
Ambulation becomes feasible goal with assistive devices & LE bracing
