← SCI & Func. Test
5 Written Questions
5 Matching Questions
- C5 fxn'l muscles
- Brown-Sequard Syndrome (Lateral Damage)
- C1-C3 fxn'l muscles
- Heterotopic Ossification
- a ectopic bone= bone develops in abnormal anatomical locations. occurs in muscles around hip and knee (sometimes elbow/shoulder) 1st symptoms=swelling, warmth, decreased joint ROM.
- b results when only one side of cord is damaged (stab/gunshot). Below level of injury there is motor paralysis & loss of proprioception on ipsilateral side. Loss of pain, temp, touch sensation on contralateral side.
- c deltoid, biceps, brachialis, brachioradialis, rhomboids, serratus anterior
- d likely to develop in ppl w/ SCIs bc of disuse of long bones, mostly LEs. Pathological fractures that occur yr after injury= supracondylar and intertrochanteric area of femur, neck of femur, proximal and distal tibia
- e Sternocleidomastoid: cervical paraspinal; neck accessories.
5 Multiple Choice Questions
- lack of tone in abs and LEs causes pooling of blood=decrease in BP(hypotension). Occurs when pt moves too quickly from supine to upright. Causes dizziness, nausea, loss of consciousness. Must recline client quickly or tip back in w/c until symptoms pass.
- occurs when theres more cellular destruction in the center of the cord than in the periphery. Paralysis and sensory loss is greater in UE's because these nerve tracts are more centrally located than those of LEs. (often seen in older pts w/arthritis-narrowing of spinal canal & cervical hyperextension=central cord damage)
- motor and sensory fxns are normal
- involuntary muscle contraction below level of injury that results from lack of inhibition from the brain.
- elbow extension, ulnar/wrist extension, wrist flexion, finger flexion/extensions, thumb abducion/flexion/extension
5 True/False Questions
Spasticity patterns → involuntary muscle contraction below level of injury that results from lack of inhibition from the brain.
L2-S5 fxn'l muscles → fully intact abs and all trunk muscles; some hip flexors, extensors, abductors, knee flexors, extensors, ankle dorsiflexors, plantar flexors
T10-L1 mov't possible → upper extremities fully intact; limited upper trunk stability ALSO lower trunk paralysis-total paralysis of LEs
C6 mov't possible → neck flexion, extension, rotation, scapular elevation, inspiration
C1-C3 mov't possible → neck flexion, extension, rotation: dependent on ventilator=total paralysis of trunk, UE's, LE's