SCI Functional Expectations Table Flashcards
key muscles C1-4
face and neck muscles
CN
partial diaphragm
available movements C1-4
talking, mastication, sipping, blowing, scapular elevation
key muscles C5
biceps
brachialis
brachioradialis
supinator
deltoid
rhomboids
infraspinatus
full diaphragm
available movements C5
elbow flexion and supination
shoulder ER, and abduction and flexion to 90
key muscles C6
extensor carpia radialis, infraspinatus, latissimus dorsi, pectoralis major (clavicular), pronator teres, serratus anterior, teres minor
available movements C6
shoulder: flex, ext, IR, add
scapular: abd, protraction, upward rotation
FA: pronation
wrist: extension
what leave does tenodesis emerge
C6
key muscles C7
extensor pollicis longus and brevis, extrinsic finger extensors, flexor carpi radialis, triceps
available movements C7
elbow extension, wrist flexion, finger extension
key muscles C8
extrinsic finger flexors, flexor carpi ulnaris, flexor pollicus longus and brevis, intrinsic finger flexors
what level do finger flexors develop
C8
key muscles T1-12
intercostals, long back muscles, abdominals (T7 and below), breathing
available movements T1-12
improves trunk control with more caudal injury, increased respiratory reserve, pectoral glide stabilized for lifting objects
key muscles L1-3
gracilis, iliopsoas, quadtratus lumborum, rectus femoris, sartorius
available movements L1-3
hip: flex, add,
knee: ext
key muscles L4-S1
quadriceps (L4), anterior tibialis (L5), HS (L5, S1), gastroc (S1), glut max and med (L5, S1), extensor digitorum, posterior tibialis, peroneals, flexor digitorum (L5, S1)
available movements L4-S1
strong hip flexion, strong knee extension, knee flexion, ankle DF/PF/eversion, toe extension
ADL for C4
dependent
feeding for C4
dependent
grooming for C4
dependent
dressing for C4
dependent
bathing C4
dependent
home management C4
dependent/environmental control units (ECU)
bowel and bladder care C4
dependent, directs care