Term
| At these levels of function the pt can basically only move the face and neck. |
|
Definition
|
|
Term
| At these levels, the pt will be vent. dependent, they can talk, but have little to no head control |
|
Definition
|
|
Term
| Name 4 available movements of a C1-3 SCI |
|
Definition
Talking
Mastication
Sipping
Blowing |
|
|
Term
| What types of transfer are most appropriate for C1-3 SCI |
|
Definition
Hoyer with head support
2 man lift |
|
|
Term
| What equipment or assistance is needed for ADL's with C1-3 SCI? |
|
Definition
| Total dependence. Ventilator dep. Full time attendant required |
|
|
Term
| What type of equipment is needed to activate light switches, page turners, call buttons, etc. for SCI C1-3 |
|
Definition
| EADL (Electronic Aid to Daily Living) |
|
|
Term
| How will a C1-3 SCI perform locomotion? |
|
Definition
| Power w/c (power reclining back or tilt in space), portable vent, sip-n-puff control system or tongue control system or other high tech devices |
|
|
Term
| How will a C1-3 SCI ambulate? |
|
Definition
| Standing frame/standing power w/c with head, trunk, and LE support |
|
|
Term
| How does a C1-3 SCI bathe? |
|
Definition
Dependent with reclining shower (with head support) / commode w/c
-Shower must be at least 6x6 |
|
|
Term
|
Definition
Not yet, coming soon
Most will require a full size van lift |
|
|
Term
|
Definition
Possible with attendant care
-Computer/phone |
|
|
Term
| With this level of function, the pt now has their diaphragm and trapezius muscles |
|
Definition
|
|
Term
| Name 2 available movements for C4 SCI |
|
Definition
Respiration
Scapular Elevation |
|
|
Term
| Can a C4 SCI breath without a vent? |
|
Definition
|
|
Term
| At this level, many pts will be ventilated at first, but not permanently. Temporary trachs are common or even an iron lung |
|
Definition
|
|
Term
| How can a C4 SCI do independent pressure relief? |
|
Definition
| Tilt w/c using sip-n-puff |
|
|
Term
| This level of SCI has full head control and shoulder shrug but no arms |
|
Definition
|
|
Term
| What assistance is needed for C4 SCI to perform ADLs |
|
Definition
| Full time attendant required |
|
|
Term
| What type of equipment is needed for C4 SCI for self-feeding |
|
Definition
| Limited. Mobile arm support, adapted eating equipment |
|
|
Term
| How can a C4 SCI type or use a computer? |
|
Definition
| Head or mouth stick, sip-n-puff controls or voice activated |
|
|
Term
| How can a C4 SCI turn on and off light switches? |
|
Definition
|
|
Term
| How does locomotion occur in a C4 SCI? |
|
Definition
| Power w/c, power recline or tilt system, sip-n-puff, tongue or head control |
|
|
Term
| How can a C4 SCI ambulate? |
|
Definition
| Standing frame w/c for weight bearing with trunk support |
|
|
Term
|
Definition
|
|
Term
| What types of transfers are appropriate for C4 SCI? |
|
Definition
| Hoyer, airplane, 2 man lift, seated pivot |
|
|
Term
|
Definition
| Dependent; attendant needed; reclining shower chair/tilt chair |
|
|
Term
|
Definition
| Yes with some attendant care; needs flexible hours |
|
|
Term
| With a C5 SCI, what muscles become available? |
|
Definition
-Biceps
-Brachialis
-Brachioradialis
-Deltoid
-Infraspinatus
-Rhomboids
-Supinator |
|
|
Term
| What movements are available for C5 SCI? |
|
Definition
-Elbow flexion and supination
-Shoulder ER
-Shoulder abduction to 90
-Limited shoulder flexion
(little anterior movement) |
|
|
Term
| How does C5 SCI perform ADLs? |
|
Definition
-able to do all activities of C4 but with greater skill and less equipment
-can learn to groom in front (face) but not back of head
-Assistance required in set up / some attendance required |
|
|
Term
| Can C5 SCI perform self-feeding? |
|
Definition
|
|
Term
| What equipment would be needed for C5 SCI to type or use computer? |
|
Definition
| Hand splints, mobile supports and slings, voice activated |
|
|
Term
| How does C5 SCI perform UE dressing and self-care? |
|
Definition
| UE dressing is very limited and assistance is needed. Self care is very limited and will need adaptive equipment |
|
|
Term
| How does C5 perform pressure relief? |
|
Definition
| Lean forward or side-to-side; typically tilt chair |
|
|
Term
| How does C5 SCI perform locomotion? |
|
Definition
-Can push w/c around house but this will cause scapular winging and its not efficient
-Manual w/c with hand rim projections (not functional)
-Power w/c with joystick (efficient) |
|
|
Term
|
Definition
| Standing frame w/c for weight bearing with trunk support or standing wheelchair |
|
|
Term
| What transfers are appropriate for C5 SCI? |
|
Definition
| Airplane, seated pivot, hoyer |
|
|
Term
|
Definition
-Yes, van with hand controls.
-Part-time attendant required
-Uses very small steering wheel very close to the body |
|
|
Term
|
Definition
-Murder ball, rugby, or swimming with flotation aids
-Limited participation |
|
|
Term
| What 3 things in a manual w/c would C5 SCI need? |
|
Definition
Custom
Light-weight
High Back |
|
|
Term
| What type of employment is appropriate for C5? |
|
Definition
-Can type well; may use voice activation
-Very possible with desk job or limited outdoor activity/requirements |
|
|
Term
|
Definition
| Independent in the front upper areas; shower with chair tilt; needs LE and back assistance |
|
|
Term
| What muscles become available to C6 SCI? |
|
Definition
-Infraspinatus
-Latissimus Dorsi
-Pectoralis Major (clavicular portion)
-Pronator Teres
-Serratus Anterior
-Teres Minor |
|
|
Term
| What is the 1st level where independent living is possible? |
|
Definition
|
|
Term
| What movements are availble with C6 SCI? |
|
Definition
-Shoulder ER & IR
-Shoulder flexion, ext, adduction
-Scapular abduction and upward rotation
-Forearm pronation
-Wrist extension (TENODESIS GRIP) |
|
|
Term
| At what SCI does mat mobility start at? |
|
Definition
|
|
Term
| What does C6 need to perform ADLs? |
|
Definition
| Some assistance to be independent |
|
|
Term
| How can a C6 SCI feed themselves? |
|
Definition
| -Universal cuff, intertwine utensils in fingers |
|
|
Term
| What does C6 SCI perform dressing and self-care? |
|
Definition
| -Adaptive equipment (possible to become independent) |
|
|
Term
| Is it possible for C6 SCI to become independent in bed-mobility? |
|
Definition
|
|
Term
| How will a C6 SCI perform locomotion? |
|
Definition
| Manual w/c (household) with friction coated hand rims or a power chair |
|
|
Term
| What equipment is necessary for C6 SCI to ambulate? |
|
Definition
| Standing frame/standing w/c for weight bearing; minimal trunk support or standing power or manual w/c |
|
|
Term
| What transfers can C6 SCI do independently? |
|
Definition
| Sliding board on level surfaces and slight unlevel |
|
|
Term
| What bathroom equipment is necesary for C6 SCI? |
|
Definition
Standard shower chair
Tub bench maybe |
|
|
Term
| Can a C6 SCI perform their own skin inspections and pressure relief? |
|
Definition
| Yes independently by pushing on arm rest in either power or manual; do not have to have tilt system |
|
|
Term
| Is it possible for C6 SCI to be independent in bowel and bladder care? |
|
Definition
| Yes with adaptive devices |
|
|
Term
|
Definition
| yes, car or van with hand controls; independent with van and may need assistance with car to load and unload w/c |
|
|
Term
|
Definition
| Limited but yes; murderball, swimming, rugby, etc |
|
|
Term
| What muscles become avaible for C7 SCI? |
|
Definition
-Extensor Policis longus and brevis
-Extrinsic finger extensors
-Flexor carpi radialis
-Triceps |
|
|
Term
| What movements become available for C7 SCI? |
|
Definition
Elbow extension
Wrist flexion
Finger extension |
|
|
Term
| This SCI is independent with ADLs, self care (with equip), dressing, and bowel and bladder care (with equipment) |
|
Definition
|
|
Term
| How will a C7 SCI perform locomotion? |
|
Definition
| Manual w/c with friction coated hand rims to help with grip and traction or a power w/c |
|
|
Term
| How might a C7 SCI ambulate? |
|
Definition
| Standing frame w/c for weight bearing or power standing w/c |
|
|
Term
| Can a C7 SCI perform independent transfers? |
|
Definition
| yes, maybe initially with a sliding board but then without |
|
|
Term
| What equipment does a C7 SCI need to drive? |
|
Definition
| Car with hand controls; independent in loading and unloading w/c |
|
|
Term
| What might determine whether a C7 SCI would need a manual or power w/c? |
|
Definition
| Depends on how active, motivation, weight, other health complications, terrain, etc |
|
|
Term
| What muscles become available for C8-T1 SCI? |
|
Definition
-Extrinsic finger flexors
-Flexor Carpi Ulnaris
-Flexor pollicis longus and brevis
-Intrinsic finger flexors |
|
|
Term
| At what level can a person be independent in all aspects; they have grip but it is still not fully functional so they still may rely on tenodesis? |
|
Definition
|
|
Term
| At what spinal cord level gives you full hand function? |
|
Definition
|
|
Term
| At what level will you get full innervation of UE muscles? |
|
Definition
|
|
Term
| What equipment might a C8-T1 perform ADLs? |
|
Definition
| Independent, may need grab bars |
|
|
Term
| What equipment is necessary for C8-T1 SCI locomotion? |
|
Definition
| Manual w/c with standard hand rims; independent with wheelies |
|
|
Term
| How might C8-T1 SCI ambulate? |
|
Definition
| Possible for exercise only, standing frame w/c for weight bearing is more realistic; may walk with bracing but for exercise purposes only |
|
|
Term
| How does a C8-T1 do transfers? |
|
Definition
| Independent high level skills; floor to w/c |
|
|
Term
| Does a C8-T1 SCI load and unload w/c independently out of car? |
|
Definition
|
|
Term
| T2-3 is most similar to what SCI level? |
|
Definition
|
|
Term
| What muscles become available for T4-6 SCI? |
|
Definition
Top half of intercostals
Long muscles of the back
(Sacrospinalis and Semispinalis) |
|
|
Term
| What movements become available for T4-6 SCI? |
|
Definition
Improved trunk control
Increased respiratory reserve
(Trunk will be very hyperextended) |
|
|
Term
| Can a T4-6 SCI level walk? |
|
Definition
| Exercise only with bracing. More likely to use a standing frame, KAFOs, HKAFOs, or a parawalker |
|
|
Term
| When a T4-6 SCI is walking, besides braces what other equipment do they need? |
|
Definition
| Rolling walker (hop or swing to) |
|
|
Term
| How is T4-6 with transfers? |
|
Definition
| Independent in all high level transfer skills |
|
|
Term
| How is a T4-6 SCI with locomotion? |
|
Definition
Independent in all advanced w/c skills
Manual w/c |
|
|
Term
| With a T4-6 SCI, what bathroom equipment is needed? |
|
Definition
| Tub bench or in the tub with a cushion |
|
|
Term
| What muscles become available for T9-12 SCI? |
|
Definition
Lower abdominals
All intercostals |
|
|
Term
| What movements become available for T9-12 SCI? |
|
Definition
| Improved trunk control, still not full balance |
|
|
Term
| At T12, what would they use for household ambulation? |
|
Definition
| KAFOs with forarm crutches or reciprocal walker which is more functional to move and carry things |
|
|
Term
| What muscles become available for L1 SCI? |
|
Definition
|
|
Term
| What movements become available for L1 SCI? |
|
Definition
| Pelvis elevation (hip hikers) |
|
|
Term
| What gait pattern is most possible for L1 SCI? |
|
Definition
| 4 point gait pattern possible with crutches or reciprocal walker |
|
|
Term
| Is a wheelchair the primary means of locomotion for L1 SCI? |
|
Definition
| Yes. Braces provide household ambulation only |
|
|
Term
| What muscles become available for L2-3 SCI? |
|
Definition
Gracilis
Iliopsoas
Quadratus Lumborum
Rectus Femoris
Sartorius |
|
|
Term
| What movements become available for L2-3 SCI? |
|
Definition
Hip Flexion
Hip adduction
Knee extension |
|
|
Term
| How will L2-3 SCI ambulate? |
|
Definition
| KAFOs with crutches (L2, ~L3 and possible AFOs for L4 or stance control brances) |
|
|
Term
| What muscles become available for L4-5 SCI? |
|
Definition
Extensor Digitorum
Low Back Muscles
Medial Hamstrings (weak)
Posterior Tibialis
Quadriceps
Tibialis Anterior |
|
|
Term
| What movements become available for L4-5 SCI? |
|
Definition
Strong hip flexion
Strong knee extension
Weak knee flexion |
|
|
Term
| What is the first SCI level that has the potential for AFOs and community ambulation? |
|
Definition
|
|
Term
| What equipment does L4-5 SCI use for locomotion? |
|
Definition
| Manual w/c for sports or long distances (w/c might become secondary) |
|
|
