Orthotic Written Simulation – Questions & Solutions

Orthotic Written Simulation – Questions & Solutions

What is impacted with a C1-C3 spinal cord injury? Correct Ans - -
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? Correct Ans -
-powered specialized wheelchair
-ADL total assist

What is impacted with a C4 spinal cord injury? Correct Ans - -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? Correct Ans - -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? Correct Ans - -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? Correct
Ans - utilize natural tenodesis

What is the impact of a C7 spinal cord injury? Correct Ans - -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? Correct
Ans - Static HO with MP extension stop allowing individual to utilize their
own tenodesis

,What is the impact of a T1 spinal cord injury? Correct Ans - -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? Correct Ans - -upper
extremity functions
-leg paralysis
(paraplegia)

What is the impact of a L3 spinal cord injury? Correct Ans - -limited
hip flexion

What is the impact of a L4 spinal cord injury? Correct Ans - -limited
quadriceps (knee extension)
-has hip flexion and adduction

What is the impact of a L5 spinal cord injury? Correct Ans - -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? Correct Ans - -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? Correct Ans - - 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? Correct Ans - Group of muscles innervated by a
single spinal nerve

Myotome C5 Correct Ans - elbow flexion

Myotome C6 Correct Ans - wrist extension

Myotome C7 Correct Ans - elbow extension

Myotome C8 Correct Ans - finger flexion

, Myotome T1 Correct Ans - finger abduction

Myotome L2 Correct Ans - hip flexion

Myotome L3 Correct Ans - knee extension

Myotome L4 Correct Ans - ankle dorsiflexion

Myotome L5 Correct Ans - great toe extension

Myotome S1 Correct Ans - ankle plantar flexion

Hip Sagittal Plane ROM Correct Ans - 30 (extension) - 0 - 120 (flexion)

Hip Coronal Plane ROM Correct Ans - 45 (abduction) - 0 - 30
(adduction)

Hip Transverse Plane ROM Correct Ans - 35 (internal rotation) - 0 - 45
(external rotation)

Knee Sagittal Plane ROM Correct Ans - -5 (extension) - 0 - 135
(flexion)

Ankle Sagittal Plane ROM Correct Ans - 20 (dorsiflexion) - 0 - 50
(plantarflexion)

Ankle Transverse/Coronal Plane ROM Correct Ans - 35 (inversion) - 0
- 15 (eversion)

Shoulder Sagittal Plane ROM Correct Ans - 180 (flexion) - 0 - 45
(extension)

Shoulder Coronal Plane ROM Correct Ans - 180 (abduction) - 0 - 20
(adduction)

Shoulder Transverse Plane ROM Correct Ans - 90 (external rotation) -
0 - 90 (internal rotation)