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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?
-often a fatal injury
-vagus nerve domination of heart, respiration, blood vessels, & all organs below the injury
A clt has a spinal cord injury at levels C1-C3. What movement does this clt have left?
-movement in neck & above
(-loss of innervation to diaphragm, absence of independent respiratory function)
A clt has a spinal cord injury at levels C1-C3. What is the rehab potential for this clt?
-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
A clt has a spinal cord injury at level C4. What does this mean for the clt?
-vagus nerve domination of heart, respirations, & all vessels & organs below injury
A clt has a spinal cord injury at level C4. What movements does this clt have left?
-sensation & movement in neck & above
-may be able to breath c/out a ventilator
A clt has a spinal injury at the C4 level. What is the rehab potential for this clt?
-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
A clt has a spinal injury at the C5 level. What does this mean for the clt?
-vagus nerve domination of heart, respirations, & all vessels & organs below the injury
A clt has a spinal injury at the C5 level. What movement does this clt still have?
-full neck, partial shoulder, back, biceps
-gross elbow, inability to roll over or use hands
-decreased respiratory reserve
A clt has a spinal injury at the C5 level. What rehab potential does this clt have?
-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
A clt has a spinal injury at the C6 level. What does this mean for the clt?
-vagus nerve domination of heart, respirations, & all vessels & organs below the injury
A clt has a spinal injury at the C6 level. What movement does the clt have remaining?
-shoulder & upper back abduction & rotation at shoulder
-full biceps to elbow flextion
-wrist extension
-weak grasp of thumb
-decreased respiratory reserve
A clt has a spinal injury at the C6 level. What is the rehab potential for this clt?
-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
A clt has a spinal injury at the C7-C8 levels. What does this mean for the clt?
-vagus nerve domination of heart, respirations, & all vessels & organs below the injury
A clt has a spinal injury at the C7-C8 levels. What movement does the clt have remaining?
-all triceps to elbow extension
-finger extensors
& reflexors
-good grasp c some decreased strength
-decreased respiratory reserve
A clt has a spinal injury at the C7-C8 levels. What rehab potential does this clt have?
-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
A clt has a spinal injury at the T1-T6 levels. What does this mean for the clt?
-sympathetic innervation to heart, vagus nerve domination of all vessels & organs below the injury
A clt has a spinal injury at the T1-T6 levels. What movement is remaining?
-full innervation of upper extremities, back essential intrinsic muscles of the hand
-full strength & dexterity of grasp
-decreased trunk stability
-decreased respiratory reserve
A clt has a spinal injury at the T1-T6 levels. What rehab potential does this clt have?
-full independence in self-care & in wheelchair ability to drive care c hand controls (in most clts)
-independent standing in standing frame
A clt has a spinal injury at the T6-T12 levels. What does this mean for the clt?
-vagus nerve domination only of leg vessels, GI & genitourinary organs
A clt has a spinal injury at the T6-T12 levels. What movement is remaining?
-Full stable thoracic muscle & upper back
-functional intercostals, resulting in increased respiratory reserve
A clt has a spinal injury at the T6-T12 levels. What rehab potential does this clt have?
-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
A clt has a spinal injury at the L1-L2 levels. What does this mean for the clt?
-vagus nerve domination of leg vessels
A clt has a spinal injury at the L1-L2 levels. What movement is remaining?
-Varying control of legs & pelvis
-instability of lower back
A clt has a spinal injury at the L1-L2 levels. What is the rehab potential of this clt?
-good sitting balance
-full use of wheelchair
-ambulation c long leg braces
A clt has a spinal injury at the L3-L4 levels. What does this mean for the clt?
-partial vagus nerve domination of leg vessels
-GI & GU organs
A clt has a spinal injury at the L3-L4 levels. What movement is remaining?
-quadriceps & hip flexors
-absence of hamstring function
-flail ankles
A clt has a spinal injury at the L3-L4 levels. What is the rehab potential for this clt?
-completely independent ambulation c short leg braces & canes
-inability to stand for long periods
The sucess of rehabilitation depends on many variables. These variables include...
-level & severity of the spinal cord injury
-type & degree of resulting impairments & disabilities
-overall health of the clt
-family support
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
-True
-positive reinforcement helps recovery by improving self-esteem & promoting independence
The goal of spinal cord rehabilitation is...
-to help the clt return to the highest level of functioning & independence possible, while improving the overall quality of life-physically, emotionally, & socially