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UL Ox > UL Ox for SCI > Flashcards

UL Ox for SCI Flashcards

1
Q

Management of Specific Diagnoses

A

no single way to treat a specific diagnosis

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2
Q

What is the foundation of treatment

A

Assessment

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3
Q

Complete SCI

A
  • No function below level of injury
  • Symmetrical deficits
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4
Q

Incomplete SCI

A
  • Some function below the level of injury
  • Asymmetric deficits
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5
Q

Determinants of deficits

Level and Severity

A
  • more proximal lesion = more ox control
  • complete lesion inferior to C4 = more complex than same at C7

seems intuitive

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6
Q

How does severity play into presentation?

Level and Severity

A

Incomplete will have variable function
* incomplete C5 = more function than complete C7

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7
Q

How many spinal nerves are there?

A

8 spinal nerves

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8
Q

C4

Pattern Deficits and Function

A

May require a ventilator

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9
Q

C5

Pattern Deficits and Function

A

often result in shoudler/bicep contol, but no wrist/hand control

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10
Q

C6

Pattern Deficits and Function

A

yield wrist control, but no hand control

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11
Q

C7-T1

Pattern Deficits and Function

A

can straighten arm, but still may have issues with their hand

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12
Q

C4 lesion and superior

Presentation

A
  • trunk instability
  • UL deficits

Tx: Static Ox (positioning and contractures); Environmental control systems

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13
Q

C4 Quadriplegia

A

Mobile Arm Supports

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14
Q

C5 Lesions

Presentation

A
  • Loss of wrist and elbow extensors
  • Predisposed to elbow contractures (use gravity to extend elbows)

Flexors intact

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15
Q

C5-C6 Quadriplegia

A

Asymmetrical pattern of deficits and function

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16
Q

C5 Ox Recommendation

A
  • Ratchet Driven WHO
  • Mobile Arm Support
17
Q

C6-C7 Lesion

Presentation

A

Inability to Grasp; Wrist Extensors present
(radial nerve)

18
Q

C6-C7 Ox Recommendation

A

Wrist Driven Tenodesis Ox
* mechanical linkage (rancho or prefab)
* cable system (RIC)

19
Q

C8-T1 Lesion

Presentation

A
  • Loss of opposition and intrinsic muscle function
  • atrophy of the thenar and hypothenar eminences
20
Q

C8-T1 Ox Recommendation

A
  • No Ox - patient can use natural tenodesis and lateral prehension pattern

OR

  • Static HO
21
Q

A

ASIA Scale

A

Complete
* Motor - no function
* Sensory - complete deficit

22
Q

B

ASIA Scale

A

Incomplete
* Motor - no function
* Sensory - incomplete deficit

23
Q

C

ASIA Scale

A

Incomplete
* Motor - preserved (more than 1/2 muscles below level have a MMT less than 3)
* Sensory - incomplete deficit

24
Q

D

ASIA Scale

A

Incomplete
* Motor - preserved (at least 1/2 muscles below level have a MMT of 3 or more)
* Sensory - incomplete deficit

25
Q

E

ASIA Scale

A

Normal

UL Ox (11 decks)

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