SCI

Question 1

C1-C3

Movement

Answer 1

Limited movement of
head & neck

Sternocleidomastoid, Accessory N (XI)

Neck, Face Muscles

Question 2

C4

Movement

Answer 2

1. Good head and neck control
2. May shrug shoulders; helps control upward shoulder movements
3. Can breathe/No vent required

Upper trap, diaphragm

Question 3

C5

Movement

Answer 3

1. Elbow flexion; supination
2. Some shoulder flexion, extension
3. Scapular abduction, adduction
4. NO ELBOW EXTENSION
5. Supination

Biceps, Deltoids, Rhomboid

Question 4

C6

Movement

Answer 4

1. Scapular rotation
2. Shoulder horizontal adduction; abduction
3. Some **WRIST EXTENSION causing passive finger flexion (TENODESIS GRASP!)
4. NO FINGER STRENGTH**
   5. Elbow flexion; forearm supination/pronation
5. NO wrist flexion/elbow extension
6. No hand function

Lats, Serratus Anterior, Clavicular Pectoralis, ECRL/B, pronator

Question 5

C7

Movement

Answer 5

1. ELBOW EXTENSION/Flexion
2. Strong wrist flexion/extension
3. Finger/thumb flexion/extension
5. GOOD shoulder movement

Triceps, Lats, Extensors of wrist and fingers

Question 6

C8

Movement

Answer 6

1. Finger flexors
2. Thumb extension

Thumb & Finger extrinsics

Question 7

T1

Answer 7

1. Finger abduction, adduction

Intrinsic hands

Question 8

T2-T12

T10-T12

Movement

Answer 8

1. Normal head, neck, shoulders, arms, hands, and fingers
2. Increased use of rib and chest msucles, or trunk control.
3. At last 3 levels, more improvements in trunk control (abdominal m)

Chest and abdominal muscles

Question 9

T1-T12

Movement

Answer 9

1. Respiration capacity and endurance maybe compromised

Chest, abs

Question 10

L1-L5

Movement

Answer 10

1. Full upper body control
2. Some hip, thigh, knee, and toe control

Question 11

S1-S5

Movement

Answer 11

1. Varies degress of bladder and bowel control
2. Sexual function

Question 12

C1-C3

Functional goals & Equpiment used

Answer 12

1. Breathing (vent, suction)
2. Communication (mouth stick, AT, communcation board)
3. Daily tasks (mouth stick, environmental control unit (ECU)
4. Mobility (Power W/C with head control, mouth stick, sip and puff or chin control; manual lift, hospital bed, pressure cushion)

Question 13

C3-C4

Functional Goals & Equip

Answer 13

1. Breathing (may intially req. vent, but usually adjust to no vent)
2. Communication (normal)
3. Daily tasks: Requires full assistance for bed mobility, transfers, all self-care)
4. Eating (may be independent with AE); may operate adjustable bed to perform other tasks (ECU, hands free devices, mouth-stick for typing)
5. Mobility (P W/C with head control, mouth stick, sip and puff, or chin control; power tilt function for independence with pressure relief)

Question 14

C5

Answer 14

1. Daily Tasks: SET-UP in eating and grooming with AE (universal cuff, scoop plate, plate guard, long straw, adaptive razor); Total A for mobility; May be able to assist caregiver with UE/some bath with AE; BATH: roll in padded shower&commod chair/padded tub bench; wash mitt; adaptive loofah
2. Health care: Requires A for cough; catheter pressure relief with P W/C with tilt-in-power
3. Mobility: May have strength to push Manuel W/C for SHORT distances over level of surface; PW/C with hand control required for daily activities. May drive with specialized hand controls in mod.van w/ lift; requires A with transport
   BED: Bed ladder, thigh straps, and bed rails
4. B&B: Requires Total A; catheter; bowel specialized equip

Question 15

C6

Answer 15

1. Daily tasks: MOD-I with most feeding, grooming, and UB dressing; some A for LB dressing; able to A with UB bathing. With some or** TOTAL A for slideboard transfers** -toileting/bathing; some light meal prep
2. Healthcare: INDEPENDENT with pressure relief with power tilt; may req some or no A for FWD/lateral llean pressure relief

Question 16

C7-T1

Answer 16

1. Daily tasks: Independent with all feeding, grooming, and UB dressing (AE: universal cup, built up handles, curved utensils, long straq, plate guard, leg lifter, dressing stick, zipper pull, hooks on shoes, slide board, padded drop-arm tub bench/commode)
2. Independent with W/C pushup or lateral lean for pressure relief
3. Mobility: Independent with manuel W/C propulsion and level surface sliding board transfers. May require some assistance from caregiver for uphill transfers. Can be independent with driving if able to load and unload w/c; Hand controls, mod-van if unable to perform transfer or load/unload chair
4. B&B: Depending on hand function, requires some or Total A for bowel management, with use of AE or medication. Can be independent or need some assist for bladder management wijth ICP or condom catheter

Question 17

T2-T12

Answer 17

1. Daily tasks: INDEPENDENT with self-care, including B&B management (AE PRN)
2. Healthcare: Independent with W/C push up (pressure relieft)
3. Mobility:** Independent with all bed mobility/transfers** with or without equipment. Independent with W/C propulsion on uneven and even surfaces and up and down curbs. Able to load and unload W/C independently for driving with hand controls

Question 18

T2-T12

Answer 18

Mobility: Independent with all bed mobility/transfers with or without equipment. Independent with W/C propulsion on uneven and even surfaces and up and down curbs.

** Can ambulate with special leg brace (extending to hips)/walking device. Functionality of ambulation depends on strength and movement in legs.**

Able to load and unload W/C independently for driving with hand controls

Question 19

L1-L3

Answer 19

1. Mobility: Increased ability to walk with fewer or no bracing or AD
2. WALKING: Braces that support ANKLE/FOOT

Question 20

Autonomic dysreflexia

Answer 20

1. a dangerous syndrome involving an overraction of your autonomic nervous system, causes sudden/severe rise in BP, HR, breathing, digestion
2. People with SCI at or above level 6 are most at risk