Chpt.3 Spinal Cord Injury

Question 1

*** Motor Levels: Spine and function (theres 9)

Answer 1

#1. C1-3 (limited movement of Neck Muscles)
#2. C4 (Diaphragm/Trapz: shrug shoulders)
#3. C5 (deltoid/biceps-elbow flexion)
#4. C6 (wrist extensors) "Can start using manual wheelchair)
#5. C7 (triceps/extensor digitorum- elbow extension)
#6. C8 (Flexor Digitorum: flex fingers for grip)
#7. T1 (Hand intrinsic-fingers abduction)
#8. T2-T12 (intercostals)
#9. T7-L1 (abdominals): trunk control

Question 2

How many vertebrae?

• Cervical
• Thoracic
• Lumbar
• Sacral

Answer 2

• 7
• 12
• 5
• 5

Question 3

Quadriplegia is ABOVE the ____ vertebrae and a Paraplegia is BELOW the __ vertebrae

Answer 3

-Thoracic Vertebrae

Question 4

what are some precautions with SCI ?

Answer 4

• lack of sensation: increases risk of pressure sores
• temperature regulation and overheating
• -Autonomic Dysreflexia (sudden severe HIGH blood pressure; sweating-above T5)
• Orthostatic Hypotension (LOW blood pressure)

Question 5

What are 2 ways to keep neck in position

Answer 5

• Philadelphia collar (with trachea hole)

- halo traction (metal ring screwed in skull)

Question 6

Which people can use the Tenodesis grasp?

How does this grasp work?

Answer 6

• people with C6-C7 quadriplegia

- > wrist extensors extend wrist, which causes tension on long finger flexors causig fingers to flex

Question 7

You can use ___ splints to maintain thumb in opposition of opposition and __ splints if wrist extensors are weak to prevent overstretching of wrist extensors.

Answer 7

• static

- wrist