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Effects of SCI
- 1) paralysis
- 2) spasticity
- 3) loss of sensation
- 4) respiration
- 5) bowel and bladder continence
- 6) genital function
- 7) CV function
- 8) thermoregulation
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Complications of SCI
- Decubitus ulcers
- Respiratory dysfunction
- Contractures
- Osteoporosis
- DVT
- Gastrointestinal
- Autonomic dysreflexia
- Ortho/postural hypotension
- Heterotopic bone fomation
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What level of i njury?
-Dependent in ADL's
-Ventilator required
-Tilt in space wc for pressure relief
-Mouth control with belt for trunk control
C1-C3
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What level of injury?
-No ventilator
-Use of adaptive equipment for ADL's
C4
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what level of injury?
-Elbow flex
-Supination
-Shld ER, ABD to90•, limited flex
-Mod to min assistance with LE's
-Dependent for transfers with slide board
C5
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Pressure relief should occur how often?
3-4 times per hr
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What level of injury?
-Independent tranfers with slide board
-WC for household mobility
-Power chair for community
C6
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What level of injury?
-Elbow ext, wrist flex, finger ext spared
-Independent transfers
-WC for community trouble with rough terrains
C7
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What level of injury?
-Full use of UE's
-Indepndent with ADL's
-WC for community
C8
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What level of injury?
-Improved trunk control
-Increased resp reserve
-Independent with ALL transfers
-WC sports
T1-T5
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What level of injury?
-Improved trunk control
-Increased resp reserve
-Independent swing to w/ bilat KAFO's for short distances on II bars
-WC for community mobility
T6-T8
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What level of injury?
-Increased endurance
-trunk controlIndependent household ambulators
-WC for community for energy conservation
T9-T12
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What level of injury?
-Has hip flex, add, knee ext
-Independent home ambulators with KAFO's and forearm crutches
-WC for E conserv or convenience
T12-L3
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what level of injury?
-Independent home ambulators
-Community ambulators
-WC for E conserv or convenience
L4-L5
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