Orthotic Written Simulation
What is impacted with a C1-C3 spinal cord injury? - answer-limited movement of head
and neck
-paralysis in arms, hands, neck, trunk, and legs
-breathing, coughing, control of bladder/bowel may be impacted
-speech may be impacted
What is the orthotic treatment for C1-C3 spinal cord injury? - answer-powered
specialized wheelchair
-ADL total assist
What is impacted with a C4 spinal cord injury? - answer-usually has head and neck
control
-may shrug their shoulders
-hand, trunk and leg paralysis
What is the impact of a C5 spinal cord injury? - answer-typically has head and neck
control. can shrug shoulders and has shoulder control
-elbow flexion is possible and can turn palms face down
-hand, trunk and leg paralysis
What is the impact of a C6 spinal cord injury? - answer-has movement of head, neck,
shoulders, arms and wrist. can shrug shoulders, bend elbows, turn palms up and down,
and extend wrists
-hand, trunk and leg paralysis
What is the orthotic recommendation for a C6 spinal cord injury? - answerutilize natural
tenodesis
What is the impact of a C7 spinal cord injury? - answer-has movement of head, neck,
shoulders, arms and wrist. can shrug shoulders, bend elbows and straighten them, turn
palms up and down, and extend wrists
-hand, trunk, and leg paralysis
What is the orthotic recommendation for C7 spinal cord injury? - answerStatic HO with
MP extension stop allowing individual to utilize their own tenodesis
What is the impact of a T1 spinal cord injury? - answer-has added strength and
precision of fingers that result in limited or natural hand function
-trunk and leg paralysis
, What is the impact of a L1/L2 spinal cord injury? - answer-upper extremity functions
-leg paralysis
(paraplegia)
What is the impact of a L3 spinal cord injury? - answer-limited hip flexion
What is the impact of a L4 spinal cord injury? - answer-limited quadriceps (knee
extension)
-has hip flexion and adduction
What is the impact of a L5 spinal cord injury? - answer-limited dorsiflexion, toe
extension, hip abduction and knee flexion
-has hip flexion, hip adduction, knee extension
What is the impact of a S1 spinal cord injury? - answer-limited knee flexion, hip
extension, plantarflexion and toe flexion
-has hip flexion, adduction, abduction, knee extension, DF, toe extension
What is the impact of a S2 spinal cord injury? - answer- may have weak hip extension,
knee flexion, toe flexion and plantarflexion
-has hip flexion, adduction, abduction, knee extension, DF, toe extension
What is a myotome? - answerGroup of muscles innervated by a single spinal nerve
Myotome C5 - answerelbow flexion
Myotome C6 - answerwrist extension
Myotome C7 - answerelbow extension
Myotome C8 - answerfinger flexion
Myotome T1 - answerfinger abduction
Myotome L2 - answerhip flexion
Myotome L3 - answerknee extension
Myotome L4 - answerankle dorsiflexion
Myotome L5 - answergreat toe extension
Myotome S1 - answerankle plantar flexion
Hip Sagittal Plane ROM - answer30 (extension) - 0 - 120 (flexion)