SCI Muscle function Expectations (By NLI )

Question 1

C1-C4

Answer 1

Talking, mastication, sipping, blowing,
scapular elevation; C3/C4 may be able to breathe w/o vent (c3 periodically) but need coughing assistance

Question 2

C5 (elbow/wrist movements)

Answer 2

Elbow flexion and supination

Question 3

C6 (shoulder movements)

Answer 3

flexion, extension, ER, IR, and adduction

Question 4

C5 (shoulder movements)

Answer 4

ER; abd and flexion to ~90

Question 5

C6 (scapular movements)

Answer 5

abduction, protraction, and UR

Question 6

C6 (forearm/wrist movement)

Answer 6

pronation and wrist ext

Question 7

C7 (all movements)

Answer 7

Elbow extension, Wrist flexion, Finger extension

Question 8

C8 (all motions)

Answer 8

finger flexion

Question 9

Thoracic motions

Answer 9

Improved trunk control with more caudal SCI Increased respiratory reserve
Pec girdle stabilization for lifting

Question 10

L1-L3 movement

Answer 10

• Hip flexion and abduction
• Knee extension

Question 11

L4 and down

Answer 11

strong hip flex
strong knee flex/ext
ankle DF/PF
eversion
toe ext

Question 12

What are the common MOIs for cervical SCI?

Answer 12

pretty much any directional force (flex/ext, rotation, or lat flexion)

Question 13

What are the common MOIs for thoracic SCI?

Answer 13

flexion and compression

Question 14

What are the common MOIs for lumbar SCI?

Answer 14

flexion