spinal cord interventions

Question 1

C5 dermatome responsible for what action?

Answer 1

elbow flexion

Question 2

C6 dermatome responsible for what action?

Answer 2

wrist extension

Question 3

C7 dermatome responsible for what action?

Answer 3

elbow extension

Question 4

C8 dermatome responsible for what action?

Answer 4

finger flexion

Question 5

SCI acute phase OT interventions can be?

Answer 5

ROM, strengthening, and stretching within precautions
orthotic fabrication
positioning and seating
edema management
retraining of ADLs
promote pyschosocial health
education

Question 6

positioning in bed is to protect ___,___,___ and to promote ___,____,____

Answer 6

skin, muscles, and joints
ROM, comfort, and rest

Question 7

intermittently position the body how in bed for a SCI?

Answer 7

75 degrees shoulder abduction and external rotation, scapular retraction and depression, and elbow extension

Question 8

what should you do with the heels?

Answer 8

float them

Question 9

avoid pressure on the balls of the feet when what is present?

Answer 9

plantar flexion tone

Question 10

when positioning in bed there should be a promotion of neutral alignment where

Answer 10

head, trunk, and feet

Question 11

hand orthosis is recommended when?

Answer 11

MMT for wrist extension is less than 3+/5

Question 12

hand orthosis should do what functions?

Answer 12

• support arches and alignment of hand
• prevent shortening or overstretching
• prevent injury
• promote edema management

Question 13

wrist orthosis used when and worn when?

Answer 13

elbow extension 3-5/5
wrist and hand 0-3/5
worn in daytime

Question 14

short opponens orthosis used when and worn when?

Answer 14

wrist extension 3-5/5
digits 0-2/5
worn in daytime to facilitate tenodesis

Question 15

MCP blocking orthosis used when and worn when?

Answer 15

intrinsic hand weakness causes MCP hyperextension
worn during functional activities

Question 16

post acute phase of SCI intervention includes

Answer 16

self management and collaboration

Question 17

outpatient or home health phase of a SCI includes

Answer 17

adaptive driving
home management
leisure activities
work skills assessment
promote psychosocial health

Question 18

SCI QoL indicators

Answer 18

psychosocial health
few medical complications
functional independence
employment
income
social participation

Question 19

C4 complete SCI interventions can include?

Answer 19

positioning and skin integrity
training of caregiver for full assistance in self-care
promote access

Question 20

C5 complete SCI interventions can include?

Answer 20

setup assistance for eating and grooming with wrist supports and AE
minimize risk of elbow flexion and supination contractures

Question 21

C6 complete SCI interventions can include?

Answer 21

tenodesis training
quad techniques
adaptive equipment training

Question 22

C7-T1 complete SCi interventions can include:

Answer 22

adaptive equipment training and environmental modifications

Question 23

for lumbar and thoracic SCI interventions

Answer 23

more functional task training, ergonomic modifications etc

Question 24

tenodesis training parameters

Answer 24

• fingers need to be curled
• prevent overstretching during PROM and positioning
• strengthen wrist extensors for grasp
• support thumb opposition for grasp

Question 25

quad techniques

Answer 25

- tenodesis used for grasp and pinch - wrist extensors for hooking legs during transfers - locked elbows and scapular depression for transfers and pressure reliefs - crossing midline to help with rolling - C6 dermatomes when testing temperatures of water etc

Question 26

manual pressure relief techniques

Answer 26

- lateral lean (C6 and below) - leaning forward over toes (C6 and below) - full lift (C7 and below)

Question 27

pressure reliefs should be completed every

Answer 27

30-60 minutes until skin tolerance is determined