SCI Levels

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Author:
renelkennell
ID:
177886
Filename:
SCI Levels
Updated:
2012-10-15 20:09:08
Tags:
SCI
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Description:
SCI levels
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  1. C1-3
    • sternocleidomastoid
    • cervical paraspinal
    • neck accessories
  2. C-4
    • trapezius
    • diaphragm
    • cervical paraspinal
  3. C-5
    • rhomboids
    • deltoid
    • biceps
    • brachialis
    • brachioradialis
    • serratus ant (partially innervated)
  4. C-6
    • clavicular pec supinator
    • extensor carpi radialis longus & brevis
    • serratus anterior
    • lat dorsi
  5. C-7
    • serratus ant
    • pec major clavicular head
    • coracobrachialis
    • (lat dorsi
    • biceps long head)
  6. C-8
    • lat dorsi
    • triceps long head
    • (pec minor
    • pec major sternal head)
  7. C1-3 functional
    • ventilator dependent
    • generally total assist
    • I power wheelchair
    • 24-hour care
  8. C4 functional
    • maybe w/o ventilator
    • generally total assist
    • power wheelchair
    • 24-hour care
  9. C5 functional
    • respiratory: low endurance & vital capacity
    • bed mobility: some assist
    • bowel & bladder: total assist
    • eating: total assist for setup, I with equipment
    • dressing: LE total A, UE some assist
    • manual w/c some assist--I
    • communication: I-some assist with setup for equipment
  10. C6 functional
    • respiratory: low endurance & vital capacity
    • bowel &  bladder: some to total assist
    • bed mobility: some
    • w/c I indoors, some assist outdoors
    • transportation: I driving from w/c
  11. C7-8 functional
    • respiratory: low endurance & vital capacity
    • bowel: some to total A
    • bladder: I-some assist
    • level bed/w/c transfer: I
    • LE dressing: some assist
    • w/c: totally independent
    • transportation: drive if can transfer and load w/c
  12. C1-3 movement
    • possible:
    • neck flex, ext, rotation

    • weakness:
    • total paralysis of trunk, UE, LE
    • dependent on ventilator
  13. C4 movement
    • possible:
    • neck flex, ext, rotation
    • scap elevation
    • inspiration

    • weakness:
    • paralysis of truk, UE, LE
    • inability to cough
    • endurance & respiratory reserve low
  14. C5 movement
    • possible:
    • shoulder flex, abd, ext
    • elbow flex, supination
    • scap add, abd

    • weakness:
    • absence of elbow ext, pronation, all wrist/hand mvmnt
    • total paralysis of trunk and LE
  15. C6 movement
    • possible:
    • scap protraction
    • some horizontal add, forearm supination, radial wrist ext

    • weakness:
    • no wrist flex, elbow ext, hand mvmnt
    • total paralysis of trunk and LE
  16. C7-8 movement
    • possible:
    • elbow ext
    • ulnar/wrist ext
    • wrist flex
    • finger flex and ext
    • thumb flex, ext, abd

    • weakness:
    • paralysis of trunk & LE
    • limited grasp/release and dexterity

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