sci muscle

Question 1

C1-C3ventilator?what muscles?ADL?

Answer 1

respirator dependent!!! phrenic nerve C3/4/5may be able to come off respirator brief if train accessory musclesfacial muscles and some shoulder can be intactvoice but limited by poor breath supportGOALS1. need trach + secretion management 2. dependent in ADL transfers3. power chair with head

Question 2

C4ventilator?what muscles?ADL?

Answer 2

no ventilator but still respiratory riskrisk of overusehave DIAPHRAGM, TRAPEZIUS, SCM(deltoid, rhomboid, partial bicep, partial levator scap)GOALS1. can use head and neck for balance and mobility2. dependent transfers

Question 3

C5what muscles?ADL?

Answer 3

shoulder flexion and abduction (limited), shoulder ER,elbow flexion, forearm supinationhave pec major, deltoid, biceps, brachialis, brachiradialis GOALS1. max assist (75% help) with transfer on sliding board2. mobilize wc with lateral projections (high energy)3. feeding (bicep) and hygiene (shoulder ER)

Question 3

C6what muscles?ADL?

Answer 3

goals:1. FIRST LEVEL OF INDEPENDENT TRANSFERS POSSIBLE -less common 2. tenodesis grasp-full scapular muscle innervation-pec (sternal),-LATISSIMUS DORSI-extension carpi radialis (tenodesis grasp with wrist extension)serratus anterior

Question 4

C7what muscles?ADL?

Answer 4

tricepsfinger extensorswrist flexors(still risk of respiration complications without full accessory muscle innervation) GOALS1. can get independent transfers, bed mobility, wc mobilization 2. ADL with adaptive equipment3. can ATTEMPT AMBULATION if lats have strong insertion on iliac crst

Question 4

C8-T1

Answer 4

full hand intrinsics–wheelies to go over curbs no LE or trunk but can be mobileambulation with KAFO more likely ( Knee-ankle-foot orthoses)

Question 5

T1-T8

Answer 5

abdominals, intercostals, erector spinaeimproved respirationtrunk controlhead hip relationship!

Question 5

T9-T12

Answer 5

full intercostals and abdominalscan use abdominals as hip flexor (high energy cost)

Question 6

L1

Answer 6

partial innervation of hip flexorsilliopsoas

Question 6

L2/L3

Answer 6

less energy for walking: still need KAFO and lofstrand crutchesquadratus: hip hikersadductors,-gracillusknee extension: rec femoris(L3 is same with better innervation)

Question 7

L4

Answer 7

possible ambulation with AFOweak adductorshamstrings!!!peronealship ERstibialis anteriorDF!!

Question 7

L5

Answer 7

gastroc, soleus(aisa and paper has as long toe extensors EHL, EDL)

Question 8

S1/S2

Answer 8

foot intrinsics(aisa has as plantar flexors)

Question 14

S3,S5

Answer 14

cauda equinaambulationbowel and bladder symptoms?LMN signs!!!!!!!!!!!