Expected outcomes for SCI Flashcards
(15 cards)
respiratory
C1-C3 - expected functional outcomes
ventilator dependent
can’t clear secretions
need to learn frog breathing
need: 2 vents (bedside-portable)
suction
power reserve
bowel
C1-C3 - expected functional outcomes
total assist
need padded reclining shower/commode chair
bladder, eating, dressing, grooming
C1-C3 - expected functional outcomes
total assist
bed mobility
C1-C3 - expected functional outcomes
total assist
full medical bed w/ trendelenburg
side rails
transfers
C1-C3 - expected functional outcomes
total assist
need transfer board or lift w/ sling
pressure relief
C1-C3 - expected functional outcomes
total assist - may be independent with equipment
power recline and/or tilt w/c
w/c pressure relief cushion
postural support and head control devices
hand splints
special bed or pressure relief mattress
C4
- physical dependence for: ADLs, personal care, mobility and pressure care
- can breath w/o vent but need it at night
- can’t operate e-w/c with head/chin control
- able to control environment through ADs
upper trap
diaphragm
C5
- can assist with care and ADL
- indep with some phys tasks like feeding but need ADs
- help with bed mobility and hoist transfer
- able to use e-w/c with hand control or normal w/c on flat surface for short distances
deltoid
biceps
brachialis
brachioradialis
C6
- potential for indep w/ care and ADLs + bowel care using AD/splints
- wrist ext = potential grasp cuz tenodesis
- potential for indep w/ bed mobility and slide board transfer
- possible for manual w/c but e-w/c for uneven ground, slopes and longer distance
- possible drive with car mods
- potential for indep living w/ support/care
partial pec major
lats
serratus anterior
radial wrist extensors
C7
- can be indep with bed mobility, care and ADLs
- transfer indep w/ lift transfer
- greater function of hands + strong grasp and increased dexterity = less split trust
- can use manual w/c
- able to drive with car mods
- potential to live indep w/ supporot
- need AD
triceps
wrist flexors
long finger flexors
C8/T1
same with C7 + more dexterity of hand function
no need for splints
finger flexors
T7-T12
- same as T1-6 + more trunk function = more balance
- able to complete more challenging tasks
abdominals
lumbar extensors
lower intercostals
T1-6
- full UE use = phys indep for care + ADLs
- indep lift transfer
- may need assist device since lack of trunk stability
- indep w/ m-w/c
- can drive with hands and live indep
upper intercostals
thoracic extensors
L1-S5
- indep for care and ADLs
- indep lift transfer + possible stand transfer
- indep w/ m-w/c + amb w/ LE orthoses and AD
- can drive and live indep
L1-2 hip flexors
L3 - knee extensors
L4 - ankle DF
L5 - long toe extensors
S1-2 - ankle PF
