SCI: Functioning Muscle groups
Terms in this set (19)
C1-C3 injury has what muscle groups preserved? (6)
rectus capitus anterior & lateral,
C1-C3 injury requires what type of assistance?
-24 hr attendance
C4 injury has what additional muscle groups preserved? (3)
upper cervical paraspinals (neck flex, ext),
diaphragm (independent breathing!)
C4 injury requires what kind of assistance for ventilation? w/c mobility?
-requires power wheelchair with adaptions to drive
C5 injury has what additional muscle groups preserved? (5)
Rhomboids (scap adduction),
rotator cuff(partial innerv ),
biceps (elbow flex and supination),
brachialis/radialis (elbow flex)
C5 injury requires what kind of assistance with transfers?
moderate to maximal (depends on if they are a "strong or 'weak" C5)
C6 injury has what additional muscle groups preserved? (5)
Rotator cuff (full innerv),
Pec major (clavicular portion),
elbow flexors (full innerv),
ext. carpi radialis (wrist ext very important!)
C6 injury has the minimal motor/sensory function required to be independent? true/false?
true (they are on paper, depends on patient's personal factors, they can finally use tendonesis, and use shoulder, may require some assistance)
C7 injury has what additional muscle groups preserved? (8)
Lats (shoulder IR, ADD, depression),
Pec major (sternal portion),
FCR (wrist flex),
FDS (weak finger flex),
C7 injury would require what type of wheel chair?
Ultralight manual wheel chair
C7 injury has the ability to stand independently?
true (not a functional position, and requires parallel bars)
C8 injury has what additional muscle groups preserved? (8)
FDP and FDS
FPL and FPB
Lumbricals (partial innerv- flex at MCP jts w/ ext of IP joints..weak)
FCU (wrist flex)
ECU (full wrist ext with add and abd)
Functional goals for a C8 injury are to be indepndent with what? (2)
-All ADL's and bowel/bladder care
T1-T6 injury has what additional muscle groups? (5)
Dorsal & Palmar interossei
Lumbricals (full fxn)
Erector Spinae (ext of thoracic spine)
Upper intercostals (good inspiration and variable forced expiration)
Optional functional goals for T1-T6 injury includes what major ADL?
ambulation (on physiological level- non-fxnal with KAFO's and forewarm crutches, requires a lot of energy)
T7-T12 injury has what additional muscle groups preserved? (2)
abdominals (full to partial innerv)
Quadratus Lumborum (weak pelvic elevation)
T7-T12 injury has poor/fair/good potential to walk in community ambulation? Will they require a wheelchair?
good potential (functional)
require wheelchair and RGO (for some clients)
L1-L2 Injury has what additional muscle groups preserved? (2)
Quadratus Lumborum (full innerv)
Iliopsoas (hip flex!)
What type of gait/ambulation is possible with a L1-L2 injury? What type of assistance will they need?
-community ambulators with swing through gait pattern
-require KAFO's but NOT an RGO
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