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37 Cards in this Set
- Front
- Back
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neck flexion, extension, rotation
**can be independent in w/c mobility with powerchair |
movements possible at level C1-3
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neck flexion, extension, rotation
scapular elevation inspiration--not ventilator dependent |
movements possible at level C4
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Shoulder flexion, abduction and extension
elbow flexion and supination scapular adduction and abduction **able to wash face, brush teeth, feed self w/ equipment |
movements possible at level C5
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Scapular Protractor
Some horizontal adduction, forearm supination, radial wrist extension **dressing, tenodesis grasp, shoulder > 90, needs help to cut food, indep. UE dressing& bathing |
movements possible at level C6
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Elbow extension,
ulnar/wrist extension wrist flexion finger flexions/extensions thumb flexion/extension/abduction **Indep. in UE dressing& bathing, eating, grooming |
movements possible at level C7-8
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Upper extremities fully intact
limited upper trunk stability increased endurance secondary to innervation of intercostals **Indep. in self care with DME |
movements possible at Level t1-9
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GOOD TRUNK STABILITY
**Indep. in self care with DME paralysis of LE |
movements possible at Level t10-l1
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Good trunk stability
partial to full control lower extremities **Indep. in self care with DME |
movements possible at Level L2-S5
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sternocleidomastoid
cervical paraspinals neck accessories |
muscles innervated at C1-C3
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upper trapezius
diaphragm cervical paraspinal muscles |
muscles innervated at C4
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"shoulder ABD to 80-90, ER, elbow flexion and forearm supination"
deltoid biceps brachialis brachioradialis supinator |
muscles innervated at C5
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"can move head, neck, shoulders, arms, wrist. flex elbows, palm up, palm down, extend wrist"
pec major radial wrist extensors extensor carpi radialis longus and brevis serratus anterior lat dorsi |
muscles innervated at C6
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"complete elbow function, bicep strength, weak grasp"
triceps extrinsic finger extensors flexor carpi radialis |
muscles innervated at C7
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"near to complete hand function with functional grasp. finger strength and precision"
intrinsics of hands including thumbs extrinsic finger flexors extrinsic thumb flexors ulnar wrist flexors and extensors |
muscles innervated at C8-T1
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"complete upper body control, increased use rib and chest mm, trunk control"
fully intact intercostals external obliques rectus abdominis |
muscles innervated at T2-T6
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fully intact abdominals and trunk musculature
hip flexors/extensors/abductors (partial innervation) |
muscles innervated at t7-t12
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total paralysis of trunk, upper and lower ext.
ventilator dependent |
patterns of weakness C1-3
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paralysis of trunk, upper and lower ext.
inability to cough endurance and respiratory reserve low due to paralysis of intercostals |
patterns of weakness C4
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absent:
elbow extension/ forearm pronation all wrist and hand movement trunk and lower extremity movement "no finger control. weak biceps" |
patterns of weakness C5
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absent:
wrist flexion elbow extension hand movement trunk and lower extremity movement |
patterns of weakness C6
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limited grasp and dexterity
paralysis of trunk and lower extremities poor balance -no trunk control |
patterns of weakness C7-8
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lower trunk paralysis
lower limb paralysis |
patterns of weakness T1-9
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paralysis of lower extremities
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patterns of weakness T10-L1
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partial paralysis of lower extremities, hips, knees, ankle, foot
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patterns of weakness L2-S5
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hours of assistance required C1-4
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24 hour attendant care--complete dependence in ADL's/ IADL's
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hours of assistance required C5
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personal care: 10 hours/day
homecare: 6 hours/ day |
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hours of assistance required C6
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personal care: 6 hours/day
homecare: 4 hours/day |
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hours of assistance required C7-8
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personal care: 6 hours/day
homecare: 2 hours/day |
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hours of assistance required T1-9
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homemaking: 3 hours/day
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hours of assistance required T10-L1
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homemaking: 2 hours/day
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hours of assistance required L2-S5
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homemaking: 0-1 hours/day
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adaptive equipment / DME C1-C3
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power w/c
ventilator mouth wand mechanical lift tilt shower chair |
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adaptive equipment / DME C4
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power w/c
mouth wand sip n puff tilt shower chair ECU long straw |
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adaptive equipment / DME C5
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WHO
U-CUFF deltoid aid scoop dish wash mitt manual w/c with weighted gloves shower chair hoyer lift |
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adaptive equipment / DME C6
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typing stick
U-CUFF WHO mobile arm support wanchik writer weighted gloves |
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adaptive equipment / DME C7
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tub bench
plate guard wanchik typing stick |
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adaptive equipment / DME C8-T1
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Tub bench
commode over toilet |
