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SCI lesions
Question | Answer |
---|---|
c1, c2, c3 | dependent adls, full time attendant required, independent w/ power wc, sip and puff controls |
c4 | dependent adls, limited self feeding, independent w/ power wc w/ head, mouth, chin, breadth, or sip and puff, tilt in space wc for pressure relief, dependent transfers |
c5 | some assistance for adls, adapted equipment for self care, independent w/ manual wc w/ plastic coated projections, transfers dependent need trapeze or sliding board, pressure relief independent w/ tilt in space |
c6 | min assist to ind for adls, adaptive equip for self care, ind w/ manual wc w/ projection or friction hand rims, ind transfers w/ sliding board on level surfaces, ind pressure relief, limited wc sports, independent w/ some light meals w/ adaptive equip |
c7 | ind adls, ind w/c w/ friction hand rims, ind transfers, light kichen activities, driving w/ and controls, able to get wc in and out of car |
c8-t1 | ind all adls and self care, ind w/ standard hand rim wc, ind in light housekeeping and meals, ind transfers, able to work in a building free of achitectual barriers |
t4-t6 | ind w/ manual wc, curbs w/ wheelie, full participation of wc sports, standing w/ frame and kafos w/ spinal attachment, ind w/ routine activities |
t9-t12 | bilateral kafos w/ crutches or walker (high energy consuption for ambulation)(household amb) |
l2, l3, l4 | bilateral kafos w/ crutches (functional amb) |
l4, l5 | bilateral kafos w/ cane (functional amb) |
c1, c2, c3 mms | face and neck mms |
c4 mms | diaphragm and traps |
c5 mms | biceps, brachialis, brachioradialis, deltoid, infraspinatus, rhomboid, supinator |
c6 mms | extensor carpi radialis, infraspinatus, latissimus dorsi, pec major, pronator teres, serratus ant, teres minor |
c7 mms | extensor pollicus longus and brevis, extrinsic finger extensors, flexor carpi radialis, triceps |
c8-t1 mms | extrinsic finger flexors, flexor carpi ulnaris, flexor pollicis longus and brivis, intrinsic finger flexors |
t4-t6 mms | top intercostals, sacrospinalis and semispinalis |
t9-t12 mms | lower abdominals and all intercostals |
l2, l3, l4 mms | gracilis, iliopsoas, quadratus lumborum, rectus femoris, sartorius |
l4, l5 | extensor digitorum, low back mms, medial hs, post tibialis, quads, tibialis ant |
wc considerations | depth=1-2 in from popliteal space, floor to seat ht=allow 2" from b/n pedals and floor and 90 degree @ hips, if using wheels below inferior angle |