spinal cord injuries

Cervical

C1-C-7

Thoracic

T1-T12

Lumbar

L1-L5

Sacral

S1-S5

Coccyx

C1-C2: I rely on YOU

• full paralyis

• Ventilator dependent

C3: hey look at ME!

• head & neck control

• Neck side flexion

• Still on ventilator

C4: VENTILATOR

• think taking a deep breath in (ironic)

• Shoulder elevation

• Full head & neck movement

• Still having breathing difficulties

• Think hyperventilating movement

C5: I believe I can FLY!

• partial shoulder flexion

• Elbow flexion

• Chicken wings

C6: I got my WRIST!

• Wrist extension

• Pronation/supination

• TENODESIS GRASP (Allows for opening closing fingers at the wrist by bending wrist backwards and forwards)

C7: I think i’m in HEAVEN

• you want to give your loved ones a HUG in heaven

• Full shoulder flexion

• Elbow extension

• wrist flexion

• Finger extension

C4: SPORE!!!

• you don’t wanna breath in the spores

• No longer ventilator dependent can breathe

C4 will usually control W/C with?

Sip and puff

C5 we can

• bring food to our mouth

• Universal cuff

• Hand control for W/C

C6 you can

• tenodesis grasp

• Pick up things functionslly

• Lot of adls with UE

• manual W/C for short periods and possible driving

C7 can do

• transfers

• Elbow extension to push off

Autonomic dysreflexia (AD) symptoms

• Pounding headache

• Nausea

• Sweating

• Flushed face

• Bradycardia

AD is a ??

MEDICAL EMERGENCY!

Dangerously high BP!!

If AD occurs?

• Place in upright position

• Remove restrictive clothing

• Check catheter

• Call doctor!!

Orthostatic hypotension symptoms?

• Drop in BP

• Lightheadness

• Dizziness

If patient has orthostatic hypotension?

• Recline the patient

• Rise legs