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624 Adults/Geriatrics > SCI Classification > Flashcards

SCI Classification Flashcards

(61 cards)

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1
Q

C1-C2: Innervated Muscles and available movement

A
  • facial
  • SCM
  • infrahoid
  • rectus capitus
  • upper traps

movement: facial expressions

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2
Q

C1-C2: respiration

A
  • requires ventilator and/or phrenic nerve stimulator

- tracheostomy

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3
Q

C1-C2 sensation

A
  • head

- ASIA: C2 –> occipital protuberance behind the ear

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4
Q

C1-C2: mobility

A
  • sip n puff w/c
  • tilt n space w/c for pressure relief
  • arm troughs
  • high back to control/support neck
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5
Q

C1-C2: treatment and mobility

A
  • self-care: dependent
  • family and caregiver training
  • ROM to prevent contractures and heteroptopic ossification
  • no UE movement
  • voice activated computer
  • positioning in bed in wheelchair
  • limited ability to use mouthstick
  • teach visual communication and direction of others for sensation compensation
  • environmental control units (ECU)- sip n puff, voice, eyebrow, head switch
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6
Q

C1-C2: orthotics

A
  1. long opponens splint: maintains web space between thumb and hand, supports wrist
  2. dorsal wrist support: prevents wrist drop
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7
Q

C3: innervated musculature and available movement

A

C1-C2 +

  • levature scapulae
  • partial diaphragm

mvmt: increased neck stability, control and ROM

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8
Q

C3: respiration

A
  • requires ventilator and/or phrenic nerve stimulator (to diaphragm)
  • tracheostomy
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9
Q

C3: sensation

A

head and neck

ASIA: C3 –> supraclavicular fossa

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10
Q

C3: mobility

A
  • sip n puff w/c

- tilt n’ space w/c (for pressure relief)

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11
Q

C3: treatment/outcomes

A

C1-C2 +

-increased mobility to use mouthstick

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12
Q

C3: orthotics

A
  • long opponens splint

- dorsal wrist support

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13
Q

C4: innervated muscles and available movement

A
  • diaphragm
  • some rhomboids

Mvmt: scapular retraction and elevation (still no UE fx)

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14
Q

C4: respiration

A

FULL RESPIRATION

with decreased capacity

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15
Q

C4: sensation

A

shoulder

-ASIA –> AC joint

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16
Q

C4: mobility

A

sip n’ puff w/c (still no UE fx)

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17
Q

C4: treatment and outcomes

A

C1-C3 +
- increased independence with mouth stick –> can use for communication, writing, typing, page turning, dialing, reading, drawing, games

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18
Q

C4: orthotics

A
  • dorsal wrist support

- long opponens splint

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19
Q

C5: innervated muscles and available movement

A
  • biceps
  • supraspinatus
  • teres minor

Partial innervation:
-deltoid, brachioradialis, supinators, pec, subscapularis, infraspinatus, rhomboids, serratus

mvmt: UE function –>
- scapular retraction
- partial SH flexion, abduction, ER
- Elbow flexion and supination

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20
Q

C5: respiration

A

can breathe but decreased vital capacity

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21
Q

C5: sensation

A
  • upper arm
  • belly of biceps

ASIA: lateral aspect of elbow

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22
Q

C5: mobility

A
  • joystick power w/c
  • potential for mannual with coated hand rims/projections
  • still need tilt n space for pressure relief
  • driving care with AE
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23
Q

C5: treatment and outcomes

A
  • feeding and oral/facial hygiene using a BFO (writing, typing, reading, games and cards with AE)
  • ECU: clappers (lights), Alexa
  • assist with UE dressing and bathing
  • ind. power pressure reliefs
  • ROM, sensation compensation (use for eyes, be very vigilant), family/caregiver, training, positioning
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24
Q

C5: orthotics

A
  • dorsal wrist support
  • long opponens splint
  • Dycem gloves (to increase use of hands)
  • BFO: balance forearm orthosis- attaches to the wheelchair and allows person to use biceps for ADLs
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25
C6: innervated muscles
- radial wrist extensors - more scapular, full deltoid, pecs - partial: serratus and pronators - FULL Shoulder movement
26
C6: available movements
- full shoulder motion - wrist extension - forearm pronation - big difference in proximal stability of the arm, can place arm with control and intention - natural tenodesis: finger and thumb touch when you extend forearm and wrist
27
C6: respiration
decreased vital capacity | -assist with cough
28
C6: sensation
-lateral aspect of forearm, thumb, and index finger
29
C6: mobility
- standard power w/c for long distances - manual ultra-light w/c - Transfer: MinA to Ind, may need slide board - Can drive with AE from captains chair or w/c
30
C6: treatment and outcomes
- Potential to be Ind with basic ADLs using equipment - self-care: feeding with cuff, tenodesis grasp for finger, O/F hygiene, bathing, UE dressing with AE, for toileting, have potential to empty adapted leg bag or self-catheterize - LE dressing --> MinA to Ind for tub bench and elevated toilet seat transfers - writing and typing with AE This the level where AE is very useful!!
31
C6: orthoses
- many adaptations to ADL items (cell phone, razor, makeup etc.) - short oponens splint --> keep person in functional position for opponens grasp, good for someone who can perform wrist extension - Tenodesis splint: supports and allows person to continue and use tenodesis grasp - Dycem gloves
32
C7: innervated muscles and actions
-TRICEPS -pecs -serratus -lattissimus -pronators -wrist extensors -wrist flexors -finger extensions abductor pollicis longus Movement: - elbow extension - strong wrist extension - functional wrist flexion - some finger extension thumb abduction
33
C7: respiration
- can breath on own | - can cough assist
34
C7: sensation
- middle and ring finger | - ASIA: middle finger on dorsal part of hand
35
C7: mobility
good endurance in manual ultra-lightweight w/c - consistent independent transfers for lateral to level surfaces - Assist-Ind for transfers to uneven surfaces - lateral and anterior pressure reliefs, poss. push up
36
C7: treatment and outcomes
- self care: Independent with AE for feeding, O/F hygiene, bathing, urinary and bowel care, UE/LE dressing - tenodesis grasp should be maintained and utilized - independent simple meal prep with AE
37
C7: orthoses
short oponens tenodesis splint
38
C8: muscles innervated and possible movemetns
muscles: - full innervation to scapula, elbow, wrist, and finger flexors, thumb, abductors, wrist flexors movement: ALL PROXIMAL UE movement -partial finger flexion and extension -thumb flexion, AB/AD
39
C8: respiration
- can breathe on own - can cough assist - decreased vital capacity
40
C8: sensation
- fifth finger | - ASIA: proximal phalanx of the fifth digit on dorsum of hand
41
C8: mobility
- good endurance in manual ultra lightweight w/c - transfers: independent even transfers - drives with AE - captains chair or w/c - lateral pressure relief, anterior pressure relief, push up on chair arms for relief
42
C8: treatment and outcomes
- self care is independent with feeding, O/F hygiene, bathing, bowel and bladder with equipment - UE/LE dressing, light meal prep, light homemaking *** increased ability for manipulation in hands therefore less AE is required
43
C8: orthoses
- may see a CLAW hand - MP block splint
44
T1-T6: innervated muscles and available movement
- full intrinsic hand muscles - top half of intercostals and long mm of back mvmt: FULL UE, poor-fair trunk control
45
T1-T6: respiration
decreased vital capacity but can still breathe on own
46
T1-T6: sensation
``` ASIA: T1: medial aspect of elbow T2: armpit T4: nipple line T6: upper abs ```
47
T1-T6: mobility
- good endurance with manual ultralight weight w/c - IND transfers even off floor - drives with hand controls - ind-assist with curbs and ramps - ambulation w/ leg braces + loftstrand crutches
48
T1-T6: treatment and outcomes
- Teach LE ROM - self-care: independent from w/c level; independent dressing in w/c - emphasis on trunk balance
49
T1-T6: orthoses
- KAFO (knee ankle foot orthoses) | - Lofstrand crutches
50
T6-T12: innervated muscles and available movement
intercostals and abdominals mvmt: good to normal trunk control
51
T6-T12: respiration
-normal vital capacity
52
T6-T12: sensation
T10=belly button
53
T6-T12: mobility
- better endurances and trunk control | - may ambulate with long leg braces and loftstrand crutches in house, short distances, functional mobility
54
T6-T12: treatment and outcomes
- Self-care: IND all wheelchair level ADLs | - emphasis on trunk balance from sitting and standing
55
T6-T12: orthoses
-KAFO
56
T12-L4: innervated muscles and available movement
- low back muscles - hip flexors (L2) - knee extensors (L3) - Dorsiflexors (L4) movement: - hip flexion - knee extension - dorsiflexion of ankle
57
T12-L4: respiration
normal vital capacity
58
T12-L4: sensation
- T12: inguinal ligament - L1,L2: thigh - L3: medial aspect of knee - L4: medial malleolus
59
T12-L4: mobility
- community ambulation with KAFO (T12-L2), ambulation with AFO (L3), - may use w/c for long distances - drives with AE
60
T12-L4: treatment and outcomes
independent self care!!
61
T12-L4: orthoses
KAFO, AFO

624 Adults/Geriatrics (3 decks)

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