Spinal Cord levels (NBCOT COTA) Questions and Solutions

Spinal Cord levels (NBCOT COTA) Questions and Solutions Spinal cord injury Level C1-3 Expected functional outcome: • ventilator dependent • total physical assistance for BADL & IADL • able to direct care needs Spinal cord injury Level C4 Expected functional outcome: • initially ventilator dependent; progress to breathing independently with reduced vital capacity • total physical assistance for BADL & IADL • able to direct care needs • power wheelchair with adaptations for independence in mobility • total assistance for bed mobility and transfers Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More Spinal cord injury Level C5 Expected functional outcome: • independent respiratory function with reduced vital capacity; may need assistance for a productive cough • total assistance for bowel and bladder management • independent self-feeding with adaptive devices • assistance for grooming with adaptive devices • total assistance for bathing Spinal cord injury Level C6 Expected functional outcome: • independent respiratory function with reduced vital capacity; may need assistance for a productive cough • minimal to total assistance for bowel and bladder management with adaptive devices • may need some assistance for basic ADL, transfers and bed mobility with adaptive devices (slideboard), and outdoor wheelchair propulsion in a manual wheelchair • total assistance for standing Spinal cord injury Level C7-T1 Expected functional outcome: • independent respiratory function • assistance for bowel management • modified independence for basic ADL (seated) • some assistance for standing • modified independence for bed mobility and transfer • independent driving with modifications Spinal cord injury Level T2-T12 Expected functional outcome: • independent to modified independence for basic ADL • modified independence for bowel and bladder management • modified independence for bed mobility, transfer, and standing • independent wheelchair mobility Spinal cord injury Level L1-L5 Expected functional outcome: • independent in ADL and bed mobility • ambulate with assistive devices • may use wheelchair for distance; independent with loading and unloading from the vehicle • independent driving with hand controls Spinal cord injury Level C1-C3 movement Head and neck flexion, extension and rotation Spinal cord injury Level C4 movement Shoulder elevation Spinal cord injury Level C5 movement Elbow flexion through biceps innervation patient may require a universal cuff wrist support utilizing a cock up splint mobile arm support Spinal cord injury Level C6 movement Wrist extension patient may require tendonesis spint to promote functional grasp also called Tendonesis grasp Spinal cord injury Level C7 movement elbow extension patient now has full shoulder strength due to biceps intervention. patient can perform depression lift. Spinal cord injury Level C8 movement hand and finger flexion, extension and thumb abduction fine motor control Spinal cord injury Level T1-T6 movement Upper trunk muscles patient is independent with self care and transfers Spinal cord injury Level T7-T12 movement Lower trunk muscles may be able to stand with a standing frame Spinal cord injury Level L1-L2 movement hip flexors Spinal cord injury Level L3 movement knee extensors