SCI

Question 0

C1/2 abilities

Answer 0

Sip and puff

Question 1

C1/2 functional levels

Answer 1

Cranially innervates muscles
Partial capital musculature
Trapezius and SA(CN XI) poor

Question 2

C1/2 treatment goals (4)

Answer 2

Sitting tolerance in chair
Using mouth in wheelchair
Eye control for access on computer
Being in an upright position on tilt table (circulation, bladder)
Equipment and training family members in equipment

Question 3

C3/4 functional levels

Answer 3

Cervical neck extensors (can hold head erect)
Full trapezius
Full SCM

Question 4

C3/4 presents with

Answer 4

Vital capacities 20-30% of normal (may need vent)
Some proprioception at shoulders
Drive chair with head ray, sip and puff, head control

Question 5

Intervention for C3/4

Answer 5

Same as C1-C2
Equip training
Upright positioning
Sitting upright in chair

Question 6

C5 functional levels

Answer 6

Full trapezius and SCM
Upper cervical paraspinal mm.
Can stabilize/rotate neck
Elevate scapula/rotate
Trace-poor most scap muscles
Partial rhomboid, rotator cuff, deltoid, biceps
No hand or wrist

Question 7

C5 treatments

Answer 7

All previous treatments
Increased sitting tolerance with a progressively decreasing back height
Transfers and bed mobility
Getting into manual chair
Pressure relief on own

Question 8

C6 functional levels

Answer 8

Full rotator cuff, strong biceps, deltoid
Partial pecs, lats, Serratus
Wrist extensors, partial wrist flexors
Traps through teodesis

Question 9

Vital capacity 50 or 60%

Lock at elbows

Answer 9

C6 characteristics

Vital capacity what?

Question 10

Goals C6

Answer 10

All other interventions 
Wheel chair mobility
Range of motion passive and active
Pressure relief
Better at leans and shifts
Driving

Question 11

Attributes for bed mobility

Answer 11

Rolling (left and right)
Move up/down
Positioning

Question 12

Mat mobility

Answer 12

Prone, quadruped, kneeling 
Supine to long sit
Supine to short sit
Long sit to short sit
Rolling side lying

Question 13

C7 most distal nerve root segments innervated + key mm.

Answer 13

Extensor pollicus longus and brevis
Extrinsic finger extensors
Flexor carpi radialis
TRICEPS

Question 14

C7 available movements

Answer 14

elbow extension, wrist flexion, finger extension

Question 15

C7 functional capabilities

Answer 15

bed skills 
ADL; self feeding, dressing, self-care
wheelchair skills
transfers
manual cough
driving

Question 16

C8-T1 most distal nerve root segments innervated + key mm.

Answer 16

extrinsic finger flexors
flexor carpi ulnaris
flexor pollicis longus and brevis
intrinsic finger flexor

Question 17

C8-T1 available movements

Answer 17

full innervation of UE muscles including fine coordination and strong grasp

Question 18

C8-T1 functional capabilities

Answer 18

Bed skills
ADL
Wheelchair skills
driving
employment

Question 19

T4-T6 most distal nerve root segments innervated and key mm.

Answer 19

top half of intercostals

long muscles of back

Question 20

T4-T6 available movements

Answer 20

improved trunk control
increased respiratory reserve
pectoral girdle stabilized for lifting objects

Question 21

T4-T6 functional capabilities

Answer 21

bed skills
ADLs
wheelchair skills such as curb climbing in wheelchair, wheelchair sports
phsiological standing (not practical for fcn)

Question 22

T9-T12 most distal nerve root segments innervated and key mm

Answer 22

lower abdominals

all intercostals

Question 23

T9-T12 available movements

Answer 23

improved trunk control

increased endurance

Question 24

T9-L5 all have the same functional capabilities (2) what are they?

Answer 24

functional ambulation | wheelchair skills

Question 25

T12- L4 most distal nerve root segments innervated and key mm.

Answer 25

``` gracilis iliopsoas QL rectus femoris sartorius ```

Question 26

L2-L4 available movements

Answer 26

hip flexion hip adduction knee extension

Question 27

L4-L5 most distal nerve root segments innervated and key mm.

Answer 27

``` extensor digitorum low back muscles medial hamstrings (weak) posterior tibialis quadriceps tibialis anterior ```

Question 28

L4 - L5 available movements

Answer 28

strong hip flexion strong knee extension weak knee flexion improved trunk control