Functional Expectations for SCI Injuries
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| C1, C2, C3- Face/Neck muscles | Talking, Mastication, Sipping, Blowing
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| C4- Diaphragm & Trapezius | Respiration, Scapular elevation
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| C5- Biceps, Brachialis, Brachioradialis, Deltoid, Infraspinatus, Rhomboids, Supinator | Elbow flexion & supination; Shoulder ER; Shoulder abduction to 90; Limited shoulder flexion
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| C6- ECR, Infraspinatus, Lats, Pec major, Pronator teres, Serratus anterior, Teres Minor | Shoulder flexion/extension/IR/Adduction; Scapular abduction/upward rotation; Forearm pronation; Wrist extension (tenodesis grasp)
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| C7- EPL & EPB, Extrinsic finger extensors, FCR, Triceps | Elbw extension; Wrist flexion, Finger extension
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| C8-T1- Extrinsic finger flexors; FCU, FPL, FPB, Intrinsic finger flexors | Full innervation of UE mm including fine coordination & strong grasp
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| T4-6-- Top 1/2 of intercostals | Improved trunk control; Increased respiratory reserve; Pec girdle stabilized for lifting objects
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| T9-12-- Lower abs, all intercostals | Improved trunk control; Increased endurance
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| L2, L3, L4-- Gracilis Iliopsoas, QL, Rectus femoris, Sartorius | Hip flexion/adduction; Knee extension
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| L4-5-- Extensor digitorum; Low back mm; Medial hams; Posterior tibialis; Quads; Tibialis anterior | Strong hip flexion; Strong knee extension; Weak knee flexion; Improved trunk control
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| Transfers dependent until? | C6
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| Driving can begin when? | C5
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| Independent with manual w/c when? | C5
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| Dressing 100% independent when? | C7
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