Neuromuscular Practice Week 4| 125 QUESTIONS| WITH COMPLETE SOLUTIONS

What are the expected functional outcomes for a C1-C4 SCI? correct answer: -total assist -capability for powered mobility What are the expected functional outcomes for a C5 SCI? correct answer: -similar to C1-C4 -still requires a great deal of assist What are the expected functional outcomes for a C6-C8 SCI? correct answer: -more independent -may require some assist What are the expected functional outcomes for a T1-T9 SCI? correct answer: -independent in all basic mobility (may require equipment) -gait is variable What are the expected functional outcomes for a T10-L1 SCI? correct answer: -independent in all basic mobility -gait more likely, still variable What are the expected functional outcomes for a L2-S5 SCI? correct answer: -independent in all -may need orthoses and/or AD In pts with paralysis, what changes about their goals? correct answer: -goals become much more compensatory/substitution -typically incorporate pharmacological meds -develop compensatory strategies Explain how muscle substitution works as a compensatory strategy correct answer: -by synergist, gravity, tension of passive structures -use of CKC activities What ways do we use momentum for compensation? correct answer: -linear -angular Describe the head-hips relationship for compensation correct answer: -pivot on arm, using shoulders as fulcrum -head moves one way; buttocks moves opposite way In patients with irreversible paralysis, what should you do with the INTACT/INNERVATED musculature? correct answer: -strengthen and increase endurance beyond a 5/5 -balanced strength around shoulder for function Where do we want tightness/extra ROM in SCI pts? correct answer: -tight: low back extensors, long finger flexors -extra: hamstrings List some interventions applied to functional activities correct answer: -functional training -rolling