SCI

Question 1

This SCI range would need 24 hour care

Answer 1

C1-C4

Question 2

This SCI range would need 12 hour care

Answer 2

C5-C6

Question 3

Describe the functions of a C1-C4 SCI

Answer 3

Needs assistance for respiratory function
Max A for self-care
Limited head and neck movements
No bowel or bladder control
Electric w/c with sip and puff control
Autonomic Dysreflexia

Question 4

Describe the functions of a C5 SCI injury

Answer 4

Low stamina, but breathing independently
Max A in self-care
Full head and neck control, and can raise arms and flex elbows
AD is possible
No bowel or bladder control
Electric w/c with hand controls

Question 5

Describe the functions of a C6 SCI injury

Answer 5

Mod A for self-care
Max A for IADLs
Full head and neck, rise arms, flex elbow, extend wrist
Some bowel and bladder
Can drive car with hand controls
Limited vital capacity

Question 6

Describe function for C7 SCI injury

Answer 6

Min A for ADL,
Mod A for IADL
Flex and extend elbow, Flex and extend wrist, some finger movements
Some bowel and bladder
Independent in transfers
Electric w/c and manual w/c for short distances

Question 7

Describe function for C8 SCI injury

Answer 7

Indepedent in ADL
Mod A for IADL
Flex and extend elbow, flex and extend wrist, some finger movement
Some bowel and bladder
Independent in transfers
manual w/c for short distance

Question 8

Describe function for T1-T5 SCI injury

Answer 8

Independent in ADL
Min A in IADL
Normal UE ROM and strength
Some bowel and bladder
Manual w/c

Question 9

Describe function for T6-T12 SCI injury

Answer 9

Min A for IADL
Normal UE ROM and strength
May walk with braces or stand with standing frame

Question 10

Describe function for L1-L5 SCI Injury

Answer 10

Normal respiratory system
Min A for IADL
Partial paralysis in hips and legs
Some bowel and bladder

Question 11

Desribe function for S1-S5 SCI injury

Answer 11

Min A for IADL
Some loss of function in hips and legs
Some bladder and bowel
Walk with assistance, but slowly and with difficulty

Question 12

How can you best prevent heterotropic ossification?

Answer 12

Proper positioning

Joint ROM program

Question 13

How should the UE of an SCI patient be positioned in the acute phase to avoid contractures?

Answer 13

Shoulder abducted with external rotation and depression, elbows in full extension, and forearm in pronation

Question 14

How often should an SCI patient weight shift?

Answer 14

Every 30-60 minutes

Question 15

Which tools does a patient with a C5 injury find most useful?

Answer 15

mobile arm supports

Universal Cuff or C-clamp

Question 16

Which tool does a patient with a C6-C7 injury find most useful?

Answer 16

tendonesis splint