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30 Cards in this Set
- Front
- Back
A clt has a spinal cord injury at levels C1-C3. What does this mean for the clt?
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-often a fatal injury
-vagus nerve domination of heart, respiration, blood vessels, & all organs below the injury |
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A clt has a spinal cord injury at levels C1-C3. What movement does this clt have left?
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-movement in neck & above
(-loss of innervation to diaphragm, absence of independent respiratory function) |
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A clt has a spinal cord injury at levels C1-C3. What is the rehab potential for this clt?
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-ability to drive electric wheelchair equipped c portable ventilator by using chin control or mouth stick
-headrest to stabilize head -computer use c mouth stick, head wand, or nose control -24 hr attendant care -able to instruct others |
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A clt has a spinal cord injury at level C4. What does this mean for the clt?
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-vagus nerve domination of heart, respirations, & all vessels & organs below injury
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A clt has a spinal cord injury at level C4. What movements does this clt have left?
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-sensation & movement in neck & above
-may be able to breath c/out a ventilator |
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A clt has a spinal injury at the C4 level. What is the rehab potential for this clt?
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-ability to drive electric wheelchair equipped c portable ventilator by using chin control or mouth stick
-headrest to stabilize head -computer use c mouth stick, head wand, or nose control -24 hr attendant care -able to instruct others |
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A clt has a spinal injury at the C5 level. What does this mean for the clt?
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-vagus nerve domination of heart, respirations, & all vessels & organs below the injury
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A clt has a spinal injury at the C5 level. What movement does this clt still have?
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-full neck, partial shoulder, back, biceps
-gross elbow, inability to roll over or use hands -decreased respiratory reserve |
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A clt has a spinal injury at the C5 level. What rehab potential does this clt have?
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-Ability to drive electric wheelchair c mobile hand supports
-indoor mobility in manual wheelchair -able to feed self c setup & adaptive equipment -attendant care 10hrs/day |
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A clt has a spinal injury at the C6 level. What does this mean for the clt?
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-vagus nerve domination of heart, respirations, & all vessels & organs below the injury
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A clt has a spinal injury at the C6 level. What movement does the clt have remaining?
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-shoulder & upper back abduction & rotation at shoulder
-full biceps to elbow flextion -wrist extension -weak grasp of thumb -decreased respiratory reserve |
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A clt has a spinal injury at the C6 level. What is the rehab potential for this clt?
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-ability to assist c transfer & perform some self care
-feed self c hand devices -push wheelchair on smooth flat surface -drive adapted van from wheelchair -independent computer use c adaptive equipment -attendant care hrs/day |
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A clt has a spinal injury at the C7-C8 levels. What does this mean for the clt?
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-vagus nerve domination of heart, respirations, & all vessels & organs below the injury
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A clt has a spinal injury at the C7-C8 levels. What movement does the clt have remaining?
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-all triceps to elbow extension
-finger extensors & reflexors -good grasp c some decreased strength -decreased respiratory reserve |
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A clt has a spinal injury at the C7-C8 levels. What rehab potential does this clt have?
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-ability to transfer self to wheelchair
-roll over & sit up in bed -push self on most surfaces -perform most self care -independent use of wheelchair -ability to drive care c powered hand controls (in some clts) -attendant care 0-6hrs/day |
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A clt has a spinal injury at the T1-T6 levels. What does this mean for the clt?
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-sympathetic innervation to heart, vagus nerve domination of all vessels & organs below the injury
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A clt has a spinal injury at the T1-T6 levels. What movement is remaining?
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-full innervation of upper extremities, back essential intrinsic muscles of the hand
-full strength & dexterity of grasp -decreased trunk stability -decreased respiratory reserve |
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A clt has a spinal injury at the T1-T6 levels. What rehab potential does this clt have?
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-full independence in self-care & in wheelchair ability to drive care c hand controls (in most clts)
-independent standing in standing frame |
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A clt has a spinal injury at the T6-T12 levels. What does this mean for the clt?
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-vagus nerve domination only of leg vessels, GI & genitourinary organs
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A clt has a spinal injury at the T6-T12 levels. What movement is remaining?
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-Full stable thoracic muscle & upper back
-functional intercostals, resulting in increased respiratory reserve |
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A clt has a spinal injury at the T6-T12 levels. What rehab potential does this clt have?
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-full independent use of wheelchair
-ability to stand erect c full leg brace -ambulate on crutches c swing (although gait difficult) -inability to climb stairs |
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A clt has a spinal injury at the L1-L2 levels. What does this mean for the clt?
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-vagus nerve domination of leg vessels
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A clt has a spinal injury at the L1-L2 levels. What movement is remaining?
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-Varying control of legs & pelvis
-instability of lower back |
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A clt has a spinal injury at the L1-L2 levels. What is the rehab potential of this clt?
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-good sitting balance
-full use of wheelchair -ambulation c long leg braces |
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A clt has a spinal injury at the L3-L4 levels. What does this mean for the clt?
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-partial vagus nerve domination of leg vessels
-GI & GU organs |
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A clt has a spinal injury at the L3-L4 levels. What movement is remaining?
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-quadriceps & hip flexors
-absence of hamstring function -flail ankles |
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A clt has a spinal injury at the L3-L4 levels. What is the rehab potential for this clt?
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-completely independent ambulation c short leg braces & canes
-inability to stand for long periods |
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The sucess of rehabilitation depends on many variables. These variables include...
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-level & severity of the spinal cord injury
-type & degree of resulting impairments & disabilities -overall health of the clt -family support |
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T/F: it is important to focus on maximizing the clt capabilites at home & in the community when the clt has a spinal cord injury
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-True
-positive reinforcement helps recovery by improving self-esteem & promoting independence |
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The goal of spinal cord rehabilitation is...
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-to help the clt return to the highest level of functioning & independence possible, while improving the overall quality of life-physically, emotionally, & socially
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