question

C1, C3 movements____

answer

chew, swallow, talk, blow

question

C1, C3 techniques/ equipment for self care____

answer

ventilator

question

Long term goals for self care C1, C3____

answer

Directs other for all applicable care, including pressure relief, skin, precautions, upper extremity ROM techniques, equipment maintenance, activity and equipment s/u proceedures, upper extremity positioning in bed and w/c

question

C1, C3 techniques/ equipment for mobility____

answer

-w/c (electronically controlled electric wc can use sip and puff or head control, appropriate seating system for positioning and safety) -pressure relief (electronically controlled recline or tilt mechanism

question

C1, C3 communication techniques/ equipment____

answer

-word processing- computer using infrared head pointer, single or dual action switches, or mouth stick -telephone-speaker phone, adapted for automatic dialing

question

C1, C3 long term goal for communication___

answer

minimal assistance, maximal assistance for mouthstick with only limited use

question

C1, C3 recreation equipment/ techniques____

answer

-games- computer/ electronic -art- mouthstick painting with s/u -reading-electronic page turner or turn pages with mouth stick -invironmental control unit -vocation- computer with head point, switches, or mouthstick

question

C1, C3 long term goals for recreation____

answer

min A with all devices/ techniques

question

C4 movements patient can do____

answer

respiration, scapular elevation

question

C4 techniques or equipment for self care____

answer

-feeding- long straw with straw holder

question

C4 techniques or equipment for mobility___

answer

-w/c- electronically controlled wc using sip and puff, cin switch, or head control -pressure relief- electronically controlled wc with power recline/tilt mechanism

question

C4 Long term goals for mobility_____

answer

Independent with w/c propulsion inside on hard level surfaces, independent with supervision outdoors on hard surfaces, dependent/directs others for assist with architechtural barriers, independent with power recline/tilt wc

question

C4 long term goal for self care____

answer

minimal assistance for drinking, directs others for all applicable care

question

C4 fully innervated level and key muscles____

answer

diaphragm and trapezius

question

C5 last fully innervated level and key muscles____

answer

biceps, brachialis, brachioradialis, supinator, infraspinatus, deltoid

question

C5 movements patient can do____

answer

elbow flexion and supination, shoulder external rotation, shoulder abduction to 80-90, gravity provides shoulder adduction, pronation, and internal rotation

question

C5 self care techniques/ equipment for feeding____

answer

mobile arm support or suspension sling, dorsal wrist splint with ucuff, dycem to stabilize plate, plate guard or scoop dish, stablized cup or cup holder, long straw with straw holder, angled spoon or fork,

question

C5 long term goals _____

answer

a ratchet splint can be used to increase level of funcitonal independence

question

C5 long term goals for self care____

answer

minimal assistance for these tasks

question

C5 Long term goals for dsg

answer

mod assist with UE, max A with LE

question

C5 grooming/bathing techniques/equipment

answer

wash mits, quad grip hairbrush, makeup for ucuff, LH sponge

question

C5 mobility techniques and equipment ____

answer

-w/c-hand controlled power w/c, manual w/c with projection knobs -pressure relief- power recline or tilt wc with use of elbow or head switches

question

C5 Long term goals for mobility___

answer

independent with propulsion inside on hard level surfaces, I/S outdoors on hard surfaces, D/ directs others for assist with architctural barriers

question

C5 communication techniques and equipment____

answer

-word processing- typing stick placed in dorsal wrist splint with ucuff -writing- long writing orthosis -phone-push button speaker,typing stick to press buttons -reading- turn pages manually using book holder and typing stick in dorsal wrist splint with ucuff

question

Communication Long term goals____

answer

min A with these tasks required

question

C6 last fully innervated level and key muscles___

answer

pectoralis major, serratus anterior, lattisimus dorsi, pronator teres, radial wrist extensors

question

C6 movements pt can do_____

answer

shoulder flexion, reach outward, shoulder internal rotation and extension, shoulder adduction, more respiratory reserve, pronation, wrist extension (tenodesis grasp)

question

C6 Feeding techniques or equipment_____

answer

ucuff, rocker knife or sharp paring knife, does not need long handled straw, may use cup with long handle, does not need plate guard (mod I)

question

C6 Grooming techniques or equipment____

answer

tenodesis grasp with adaptive equipment (mod I)

question

C6 bathing techniques or equipment____

answer

bench, must reach facet (min A)

question

C6 bowel and bladder care techniques or equipment____

answer

insert suppositories with ae, adaptive handles, Ind with toilet transfers, applying condom, self cath, adaptive clamp for drainage bag (male- min A, female- max A)

question

C6 dressing techniques or equipment____

answer

Dressing in bed, uses button hook, uses zipper pull, clothes should be correct size or larger (UE- mod I, LE- min-max A)

question

C6 w/c mobility techniques or equipment____

answer

pushes manual wc with friction material or rims or projection knobs, an electric w/c may be required for long distances (Independent in propelling on level surfaces, min A on uneven surfaces)

question

C6 transfer techniques and equipment____

answer

uses a transfer board and partial depression or swivel transfer (independent)

question

C6 bed transfer techniques and equipment____

answer

possible loops at bottom of bed

question

C6 long term goals for bed transfers____

answer

mod I for rolling supine to long sitting, mod A for proning, paddling, and positioning

question

C6 vehicle techniques and equipment____

answer

drive using hand controls with adapted steering wheel (mod I)

question

C6 pressure relief goals___

answer

independent side to side

question

C6 communication techniques____

answer

-word processing- ucuff for tenodesis grasp to hold typing stick -writing-uses tenodesis grasp to hold pen or short writing orthosis -telephone- uses any phone or phone holder or uses tenodesis grasp to hold receiver (mod I with all tasks)

question

C6 recreation techniques and equipment_____

answer

-can turn on and off radio/ TV -can play table games with adaptations -can participate in some w/c sports

question

C6 vocation techniques and equipment_____

answer

-cannot use hand tools that require strength -electronic office machines are well suited to these pts -homemaking can do light cooking and cleaning, needs a wc accessable kitchen (light work min A, heavy work- max A)

question

C7 fully innervated level and key muscles____

answer

tricips, extrinsic finger extensors, flexor carpi radialis

question

C7 movements patients can do____

answer

elbow extension, active finger extension (tenodesis grasp), wrist flexion

question

C7 dsg, bathing, bowel/ bladder techniques and equipment_____

answer

-button hook only, wc dressing -same as C6 only is easier

question

C7 mobility techniques/ equipment_____

answer

manual w/c, uses modified car

question

C7 long term goals for mobility____

answer

-Independent with propulsion over flat surfaces and inclines, Ind/S for rough terrain -Doors: mod I, -Independnet with pushups for pressure relief -min A with padding and positioning -independent for transfers -mod I for modified car transfers

question

C8, T1 key muscles_____

answer

Intrinsics, including thumb, ulnar wrist flexors and extensors, extrinsic finger and thumb flexors, extrinsic thumb extensor

question

C8, T1 movements_____

answer

full UE control, including FMC and grasp

question

C8, T1 self care, mobility, and communication tehcniques and equipemtn _____

answer

same as C7, but easier- mod I

question

T6 key muscles_____

answer

top half of intercostals, long muscles of the back

question

T6 movements patient can do___

answer

increased endurance due to larger respiratory reserve, pectoral girdle stablized for heavy lifing

question

T6 mobility techniques and equipment____

answer

uses full braces and standing aid for physiological standing only, can ambulate with great difficulty, on level surfaces (independent)

question

T6 vocation techniques and equipment____

answer

can work with tools and do fairly heavy lifting and sedentary position

question

T12 key muscles____

answer

full innervation of intercostal, abdominal muscle

question

T12 movements patients can do_____

answer

better endurance, better trunk control

question

T12 self care and mobility techniques or equipment_____

answer

-work, sports, and housekeeping -mobility- uses wc for energy conservation, ambulates with difficulty using long leg braces and crutches, can use ride on snow plow, grass cutter, etc, with hand controls (independent)

question

L4 key muscles_____

answer

low back muscles, hip flexors, quadriceps

question

L4 movements patiet can do____

answer

hip flexion, knee extension

question

L4 mobility techniques and equipment____

answer

uses canes to prevent deforming effects of degenerate arthritis, w/c might be convenient at home

question

L4 bowel and bladder info____

answer

control is not voluntary

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