Spinal Cord Injury Flashcards
(19 cards)
C1-C3 muscle innervation
Head and neck
C4 muscle innervation
diaphram
C5 muscle innervation
deltoids, biceps
C6 muscle innervation
wrist extensors
C7 muscle innervation
triceps
C8-T1 muscle innervation
hand
T4-T6 muscle innervation
chest muscles
C4 injury muscle use
head, neck, and diaphragm
C5 injury muscle use
deltoids, biceps, diaphram, head and neck
C6 injury muscle use
wrist extensors, deltoids, biceps diaphram, head and neck
C7 injury muscle use
triceps, wrist extensors, deltoids, biceps, diaphram, head and neck
C8-T1 muscle use
hand, triceps, wrist extensors, biceps, deltoids, diaphram, head and neck
T4-6 muscle use
chest muscles, hand, triceps, wrist extensors, deltoids, biceps, diaphram, head and neck
ASIA A
Complete: No motor or sensory function preserved below the level of injury
ASIA B
Incomplete: Sensory, but no motor funciton preserved below neurological level
ASIA C
Incomplete: Motor function is preserved below the neurological level, and more than half of kep muscles below the neuro level have muscle grade of less than 3
ASIA D
Incomplete: Motor function is preserved below the neuro level, and at least half of key muscles below the neuro level have a muscle grade 3 or higher
ASIA E
Normal: Motor and sensory function are normal
Spinal Precautions
- No turning, twisting, or bending
- In supine, pillow under knees
- In side-lying, pillow between knees
- Log roll in bed with pillow between knees
- Avoid “bridging” up with hips
- Push with arms to get up, do not pull
- Do not cross legs
- No hip flexion greater than 90 degrees
