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12 Cards in this Set
- Front
- Back
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Spinal Cord injury with C5 intact
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- Weak shoulder function and elbow flexion
- cannot operate wheelchair |
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Spinal Cord injury with C6 intact
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- Full shoulder function, strong elbow flexion, wrist extension, supination and pronation
- can operate a wheelchair over level surfaces |
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Spinal Cord injury with C7 intact
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- add elbow extension, wrist flexion and finger extension
- weak grip |
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Spinal Cord injury with C8 intact
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- Hand normal, except intrinsics (claw hand)
- grasp and fine motor control deficient |
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Spinal Cord injury with L2 intact
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- Hip flexors (iliopsoas) well-powered
- adductors weakly powered - little help in gait |
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Spinal Cord injury with L3 intact
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- Good hip flexors and adductors
- some knee extension helps with crutch gait |
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Spinal Cord injury with L4 intact
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- Add full quads, but still no hip extensors for stability
- need crutches |
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Spinal Cord injury with L5 intact
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- Still no gluteus maximus for hip stability
- need crutches |
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Spinal Cord injury with S1 intact
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- Close to normal hip and knee muscles
- can walk, but foot intrinsics out, leading to claw toes - Still no bowel and bladder control |
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Hoffman sign
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- Nip middle finger nail resulting in thumb flexion
- upper motor neuron sign |
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muscle grading scale
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- 0-6
- 0-4 is none, trace, poor, fair, good - 5 is normal |
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Dupuytren contracture
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- an aggressive progressive nodular fibrosis of the palmar fascia that often extends into the fingers
- particularly the 4th and 5th digits - It is associated with local trauma and alcohol ingestion |
