Exam 3: SCI 9/24 (Mat Skills) Flashcards Preview

Bringman class fall 2015 > Exam 3: SCI 9/24 (Mat Skills) > Flashcards

Flashcards in Exam 3: SCI 9/24 (Mat Skills) Deck (43):
1

What is the potential for mat skills and bed mobility in a C4 or higher SCI?

Inadequate voluntary motor function to contribute to bed skills.

2

C5- What is their capability toward rolling?

Some assist, pulling on bed rail or loops

3

C5- What is their capability toward coming to sitting?

some assist walking on elbows or with loops to pull on

4

C5- What is their gross mobility in sitting?

dependent to some assist- head can help contol

5

C5- What is their capability toward leg management?

dependent to some assist with arm function/spacticity

6

C5- What are some exceptional functional outcomes?

Exceptional functional outcomes include independent in bed skills. They are likely to require bed rails or loops.

7

C6- What is their capability toward rolling?

Some assist to independent with or without equipment

8

C6- What is their capability toward coming to sitting?

Some assist to independent with or without loops.

9

C6- What is their gross mobility in sitting?

Some assist

10

C6- What is their capability toward leg management?

Some assist

11

C6- What are some exceptional functional outcomes?

Independent with all bed skills without equipment.

12

C7- What are typical functional outcomes?

Independent to some assist in bed skills without equipment.

13

C7- What is their capability toward rolling?

Independent

14

C7- What is their capability toward coming to sitting?

Independent

15

C7- What is their gross mobility in sitting?

Independent to some assist

16

C7- What is their capability toward leg management?

Independent to some assist

17

C8- What are typical functional outcomes?

Independent to some assist in bed skills without equipment.

18

C8- What is their capability toward rolling?

Independent

19

C8- What is their capability toward coming to sitting?

Independent

20

C8- What is their gross mobility in sitting?

Independent to some assist

21

C8- What is their capability toward leg management?

Independent to some assist

22

T1 and below- what are typical functional outcomes?

Independent in all bed skills without equipment.

23

Name some basic mat skills

1.) Maintaining elbow extension while flexing shoulders
2.) Maintaining static and dynamic control while propping on the UEs
3.) Rolling
4.) Propping on elbows

24

What trouble may a C6 or above have with rolling?

Keeping elbows extended while throwing arms to prevent hitting themselves in the face.

25

Why should a SCI that does not have hand function be propped with hands closed in a fist?

Do not want to stretch out that tenodesis grasp

26

C5- What partially innervated muscle makes it possible to extend the elbow using muscle substitution?

Deltoid

27

C5- What 3 partially innervated muscles are required to "lock" the elbow?

Deltoid, infraspinatus and teres minor

28

C5- What partially innervated muscles make it possible to use elbow flexion to pull?

Biceps, brachialis, and brachioradialis

29

C5- Lack of function in what muscle makes rolling difficult because active elbow extension is lacking?

Triceps

30

C5- Minimal function of what muscle is inadequate to stabilize the scapula against the thorax?

Serratus Anterior

31

C6-What fully innervated muscles allow for stronger elbow extension and "locking" using muscle substitution?

Deltoids, infraspinatus, teres minor, and the clavicular portion of pec major

32

C6- Full innervation of what muscle allows for stronger pull using elbow flexion?

Biceps

33

C6- Partial innervation of what muscle makes it possible to stabilize the scapulae against the thorax?

Serratus anterior

34

C6- Scapular protraction allows the patient to do what?

Greater lift of the buttocks in sitting

35

C6- Partial innervation of what muscle enhances shoulder girdle depression?

Lats

36

C6- Minimal innervation of what muscle is inadequate to contribute significantly to bed skills?

Triceps

37

C7- Partial innervation of what muscle allows for stronger elbow extension?

Triceps

38

C7- Full innervation of what muscle provides a more stable scapula as well as stronger protraction and upward rotation?

Serratus anterior

39

C7- Partial innervation of what 2 muscles enhances shoulder girdle depression, allowing greater lift of the buttocks in sitting?

Lats and sternocostal portion of pec major

40

C8- Full innervation of what muscle provides normal strength in elbow extension?

Triceps

41

C8- Full innervation of _________ and nearly full innervation of ________ allow strong shoulder girdle depression.

Full lats and nearly full pec major

42

C8- Nearly full innervation of __________ and _________ and partial innervation of ___________ and _________ provide grasp without muscle substitution, making leg management easier.

Nearly full flexor digitorum superficialis and profundus and partial flexor pollicus longus and brevis

43

T1 and below- Fully innervated _________ make all bed skills easier to achieve.

Fully innervated upper extremities make all bed skills easier to achieve. (Innervation of musculature associated with lower levels of injury enhances performance.)