3.2 Functional Outcomes for SCI

Question 1

C1-C4: breathing

Answer 1

• problems with breathing
• likely will be on some form of permanent vent
• at least at night, they will have a vent

Question 2

C1-C4: assistance level

Answer 2

total assist

• won’t be able to roll
• no transfers
• obviously no ambulation

Question 3

C1-C4: wheelchair

Answer 3

can be independent in a wheelchair

Question 4

How can a C1-C4 pt be independent in a wc?

Answer 4

• chin control
• sip and puff
• eye movement

Question 5

C1-C4 chair set-up

Answer 5

• vent set up to it

- water tube

Question 6

strategies for functional rehab

Answer 6

• muscle substitution

- physics

Question 7

tenodesis grip

Answer 7

using tight finger flexors with active wrist extension

Question 8

muscle substitution: tricep in OKC

Answer 8

tricep does extension

Question 9

muscle substitution: tricep in CKC

Answer 9

• contract anterior delt to create flexion of the humerus and lock out the elbow
• pop it forward

Question 10

benefit of using the tricep in CKC (muscle substitution)

Answer 10

difficult, but allows them to do a dip with some scapular depression

Question 11

What is the important concept of physics that can be used for a SCI pt in mobility?

Answer 11

summation of momenta

Question 12

summation of momenta

Answer 12

• if enough momentum is created in body part that can still move, the parts of the body that are connected to that portion can also move
• important with rolling