SCI Functional Expectations Table Flashcards

1
Q

key muscles C1-4

A

face and neck muscles
CN
partial diaphragm

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2
Q

available movements C1-4

A

talking, mastication, sipping, blowing, scapular elevation

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3
Q

key muscles C5

A

biceps
brachialis
brachioradialis
supinator
deltoid
rhomboids
infraspinatus
full diaphragm

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4
Q

available movements C5

A

elbow flexion and supination
shoulder ER, and abduction and flexion to 90

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5
Q

key muscles C6

A

extensor carpia radialis, infraspinatus, latissimus dorsi, pectoralis major (clavicular), pronator teres, serratus anterior, teres minor

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6
Q

available movements C6

A

shoulder: flex, ext, IR, add
scapular: abd, protraction, upward rotation
FA: pronation
wrist: extension

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7
Q

what leave does tenodesis emerge

A

C6

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8
Q

key muscles C7

A

extensor pollicis longus and brevis, extrinsic finger extensors, flexor carpi radialis, triceps

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9
Q

available movements C7

A

elbow extension, wrist flexion, finger extension

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10
Q

key muscles C8

A

extrinsic finger flexors, flexor carpi ulnaris, flexor pollicus longus and brevis, intrinsic finger flexors

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11
Q

what level do finger flexors develop

A

C8

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12
Q

key muscles T1-12

A

intercostals, long back muscles, abdominals (T7 and below), breathing

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13
Q

available movements T1-12

A

improves trunk control with more caudal injury, increased respiratory reserve, pectoral glide stabilized for lifting objects

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14
Q

key muscles L1-3

A

gracilis, iliopsoas, quadtratus lumborum, rectus femoris, sartorius

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15
Q

available movements L1-3

A

hip: flex, add,
knee: ext

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16
Q

key muscles L4-S1

A

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)

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17
Q

available movements L4-S1

A

strong hip flexion, strong knee extension, knee flexion, ankle DF/PF/eversion, toe extension

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18
Q

ADL for C4

A

dependent

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19
Q

feeding for C4

A

dependent

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20
Q

grooming for C4

A

dependent

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21
Q

dressing for C4

A

dependent

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22
Q

bathing C4

A

dependent

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23
Q

home management C4

A

dependent/environmental control units (ECU)

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24
Q

bowel and bladder care C4

A

dependent, directs care

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25
WC mobility and pressure relief C4
independent power WC, adaptive controls tilt in space for pressure relief possible portable ventilator
26
bed mobility C4
dependent
27
transfers C4
dependent, mechanical lift
28
ambulation C4
unable
29
driving C4
unable
30
ADL C5
some assist or setup required adaptive equipment part time attendant required for ADLs (possible full time) direct care
31
feeding C5
adaptive utensils/splinting
32
grooming C5
adaptive equipment
33
dressing C5
dependent
34
bathing C5
dependent
35
home management C5
dependent, ECU, directs care of attendant for all ADL's as needed part time attendant still required for ADL's, possible full time
36
home management C5
dependent, ECU, directs care of attendant for all ADL's as needed part time attendant still required for ADL's, possible full time
37
home management C5
dependent, ECU, directs care of attendant for all ADL's as needed part time attendant still required for ADL's, possible full time
38
bowel and bladder care C5
dependent, directs care
39
WC mobility and pressure relief
independent with some assist with manual WC on LEVEL surfaces - needs plastic coated rims/extensions benefits from power WC independent tilt in space for pressure relief may be able to pressure relief in manual WC
40
bed mobility C5
assist to dependent
41
transfers C5
may be able to perform with assist/transfer board may need mechanical lift directs care
42
ambulation C5
unable
43
driving C5
independent with van with adaptive controls
44
ADL C6
assist to independent with setup/equipment part time attendant required
45
feeding C6
assist to independent with adaptive utensils/cuff
46
grooming C6
assist to independent/adaptive equipment
47
dressing C6
independent with upper body with adaptive equipment assist with lower body and adaptive equipment
48
bathing C6
independent with upper body with adaptive equipment assist with lower body and adaptive equipment
49
home management C6
assist with adaptive equipment may be independent with certain tasks partime attendant required
50
bowel and bladder care C6
may be independent with adaptive equipment likely needs assist/dependent
51
WC mobility and pressure relief C6
independent with manual WC on level surfaces and community may need assist in community with manual WC may require power WC in community requires plastic coated hand rims/extensions independent with pressure relief in WC
52
bed mobility C6
independent with some assist with adaptive equipment and/or electric bed
53
transfers C6
independent to some assist level surfaces using transfer board assist required for uneven surfaces
54
ambulation C6
unable
55
driving C6
independent with car with adaptive controls
56
ADL C7
independent in WC accessible environment
57
feeding C7
independent with adaptive utensils
58
grooming C7
independent with adaptive equipment
59
dressing C7
independent UE and LE with adaptive equipment
60
bathing C7
independent with adaptive equipment, shower chair, hand rails in WC accessible environment
61
home management C7
independent for many tasks, will require assist for heavy household tasks
62
bowel and bladder C7
independent with adaptive equipment
63
WC mobility and pressure relief in WC C7
independent with manual WC in home and community with plastic coated hand rims may need some assist with ramps and curbs/uneven terrain may benefit from power assist independence with pressure relief
64
bed mobility C7
independent, may require adaptive equipment (bed rails/leg loops_
65
transfers C7
independent, may require assist between uneven surfaces
66
ambulation C7
unable
67
driving C7
independent with car with adaptive controls
68
ADLs C8
independent with WC accessible environment, less need for adaptive equipment due to improve hand function
69
feeding C8
independent with adaptive utensils
70
grooming C8
independent with adaptive equipment
71
dressing C8
independent UE and LE with adaptive equipment
72
bathing C8
independent with adaptive equipment, shower chair, hand rails in WC accessible environment
73
home management C8
independent for many tasks, will require assist for heavy household tasks
74
bowel and bladder C8
independent with adaptive equipment
75
WC mobility and pressure relief C8
independent with manual WC in home and community better able to propel on ramps and curbs/uneven terrain may need assist on uneven surfaces may benefit from power assist independent in pressure relief
76
bed mobility C8
independent, may require adaptive equipment (bed rails/leg loops)
77
transfers C8
independent, may require assist between uneven surfaces may be able to transfer from floor to WC
78
ambulation C8
unable
79
driving C8
independent with car with adaptive controls
80
ADL T1-12
independent in all areas (easier with more caudal injury)
81
feeding T1-12
independent
82
grooming T1-12
independent
83
dressing T1-12
independent
84
bathing T1-12
independent with shower chair/hand rails WC accessible environment
85
home management T1-12
independent may require assist for heavy household tasks
86
bowel and bladder T1-12
independent with adaptive equipment
87
WC mobility and pressure relief T1-12
independent in home and community with manual AC independent with ramps/curbs/uneven terrain WC mobility more efficient with more caudal injury
88
bed mobility T1-12
indepenent
89
transfersT1-12
independent able to transfer from floor to WC easier with more caudal injury
90
ambulation T1-12
independent with physiological standing and ambulation for exercise over short distances in home (HKAFO/KAFO) and AD
91
driving T1-12
independent with car with adaptive controls
92
ADL L1-3
independent
93
feeding L1-3
independent
94
grooming L1-3
independent
95
dressing L1-3
independent
96
bathing L1-3
independent
97
home management L1-3
independent
98
bowel and bladder L1-3
independent
99
WC mobility and pressure relief L1-3
independent - may choose WC use in community due to high energy demands of community ambulation
100
bed mobility L1-3
independent
101
transfers L1-3
independent
102
ambulation L1-3
independent with short distances in home and possible community (HKAFO, KAFO, AFO) and AD (FA crutches)
103
driving L1-3
independent with adaptive controls
104
ADLs L4-S1
independent
105
feeding L4-S1
independent
106
grooming L4-S1
independent
107
dressing L4-S1
independent
108
bathing L4-S1
independent
109
home management L4-S1
independent
110
bowel and bladder L4-S1
independent
111
WC mobility and pressure relief
independent injury L4 may elect to use WC for long distances lower injuries may not need WC
112
bed mobility L4-S1
independent
113
transfers L4-S1
independent
114
ambulation L4-S1
independent ambulation in home and community (L4 may elect WC for long distance) AD (FA crutches, canes) AFO less supportive AD and orthoses with more caudal injuries
115
driving L4-S1
independent may need adaptive control dependent on injury level