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SCI-Muscles & Mvmt

C1-3 Muscles Sternocleidomastoid Upper Trapezius Levator Scapulae
C4 Muscles Diaphram Trapeizus
C5 Muscles Deltoid Rotator Cuff Biceps Supinator
C6 Muscles ECRL & ECRB Pronator Teres Pec Major - Clavicular Head
C7 Muscles Triceps Latissimus Dorsi FDP & FDS Flexor Carpi Radialis Extensor Digitorum Pec Major - Sterno head
C8 Muscles Interossei Lumbricals Thenar Muscles Hypothenar Muscles
C1-3 Movement Neck control
C4 Movement Shoulder shrug
C5 Movement Shoulder control Elbow flexion Supination
C6 Movement Wrist extension Pronation
C7 Movement Elbow extension Finger flexion & extension Wrist flexion
C8 Movement MP Flexion Finger ABd & ADd Thumb movements
C1-3 ADL-Work-Rec - ADL - Total dependence - Work - w/ ECU, admin - Rec - reading, card games
C4 ADL-Work-Rec - ADL - Total dependence w/ funct. ext. pwr. sys - Work - w/ ECU, reception & clerical - Rec - reading, card games, spectator sports, board games
C5 ADL-Work-Rec - ADL - feeding, brushing teeth, washing face, combing hair, dressing U. body, making light meals - Work - office/clerical - Rec - arts & crafts, card games, spectator sports, board games, hobbies
C6 ADL-Work-Rec - ADL - feeding, grooming, dress w/ min A for LE, xfer IND to bed & mat table, drive car w/ handcontrols - Work - administrative, educational, clerical - Rec: board games, hobbies OUTDOORS: wheechair sports, javelin, shotput, swimming, archery, gardeni
C7 ADL-Work-Rec - ADL - total IND - except for self-care, drive car w/ hand controls - Work - any sedentary job that does not require optimum finger strength - Rec: indoor and outdoor wheelchair sports EXCEPT basketball
C8 ADL-Work-Rec - ADL - total SELF-CARE IND, drive car w/ hand controls, xfer w/c into car - Work - any sedentary job - Rec: all indoor and outdoor w/c sports
C1-3 W/C & Orthotics - ELECTRIC: w/ chin or breath control, fully reclining preferred STANDARD: fully reclining - Long opponens AKA long thumb spica
C4 W/C & Orthotics - ELECTRIC: w/ chin or breath control STANDARD: reclining backrests may be necessary - Mobile Arm Support, Power Tenodesis, Long opponens AKA long thumb spica
C5 W/C & Orthotics - ELECTRIC: w/ hand control STANDARD: w/ oblique support and upright backrests - Mobile Arm Support, Power Tenodesis, Long opponens AKA long thumb spica
C6 W/C & Orthotics - ELECTRIC: w/ hand control for long distance STANDARD: w/ vertical projections - wrist driven flexor hinge, tenodesis, short opponens
C7 W/C & Orthotics - STANDARD w/c - wrist driven flexor hinge, tenodesis, short opponens, MP finger flexion & extension orthotic
C8 W/C & Orthotics - STANDARD w/c - short opponens, initially
Central Cord Syndrome Paralysis & sensory loss greater in UE's -- often seen in older people due to narrowing of the spinal canal
Brown-Sequard Syndrome One side of SC is damaged -- below level of lesion losses will be - Ipsilateral: motor paralysis and loss of proprioception - Contralateral: loss of pain, temperature, touch
Anterior Spinal Cord Syndrome Loss of pain, temperature, touch -- proprioception is intact
Cauda Equina Involves peripheral nerves instead of SC -- typically occurs in fractures below the L2 level -- flaccid type of paralysis -- has better prognosis for recovery because peripheral nerves can regenerate
Conus Medullaris Syndrome Sacral cord injury & lumbar nerve roots within neural canal -- can result in areflex bladder, bowel, and LE
Dorsal columns / medial lemniscal system Conveys propriception, vibration, & tactile discrimination
Spinothalamic tracts Conveys pain, temperature, and crude touch
Spinocerebellar tracts Convey proprioception from muscle spindles, golgi tendon organs, touch, and pressure receptors to cerebellum
Spinoreticular tracts Convey deep and chronic pain to reticular formation of brain stem
Created by: msmaus