ABILITIES:
Individuals with C6 quadreplegia have movement in head, neck, shoulders, arms, and wrist. Can shrug shoulders, bend elbows, turn palms up and down and extend wrist. This wrist extension allows for tendodesis and passive thum adduction which helps with grasp/release.
FUNCTIONAL GOALS:
Highest level where patient can sill function independently without an aid. Can perfrom tasks such as feeding, bathing, grooming, personal hygeine and dressing with greater ease with specialized equipment. They can independently perform skin checks, turn in bed, and do pressure relief. Can independenltly do transfers but require a sliding board. Can use a manual wheelchair for daily activities but can use a power wheelchair for greater independence.
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About Spinal Cord Injury
Spinal cord extends from brain to lower back and is a bundle of nerve cells and fibers that acarries messages from the brain to the body as well as from the body to the brain. The spinal cord is protected by the vertebral column. The 4 regions of the vertebral column include the 7 cervical vertebrae (protecting 8 cervical nerves), 12 thoracic vertebrae (protecting 12 thoracic nerves), 5 lumbar vertebras (protect 5 lumbar nerves) and 5 sacral vertebras (protecting 5 sarcal nerves). Trauma to spinal cord result from a direct injury or injury to surrounding bones, tissues, and blood vessels. It occurs when there is damage to the cells of the spinal cord or severs to the nerve tracts that relay signals up and down the spinal cord.
References
- Wrong diagnosis. (2009). Spinal cord injury. Retrieved from http://www.wrongdiagnosis.com/s/spinal_cord_injury/intro.htm#excerpts
- Spinal cord. (2009). SCI Topics. Retrieved from http://www.spinalcord.uab.edu/show.asp?durki=32063&site=1021&return=21504
- Paralyzed veterans of America. (2009). Spinal cord injury. Retrieved from http://www.pva.org/site/PageServer?pagename=injury_main
- Garrison, S. (2003). Handbook of Physical Medicine and Rehabilitation Basics (Second Edition ed.). Philadelphia: Lippincott Williams & Wilkins.
- Spinal cord 101. (2009). Spinal cord injury resource center. Retrieved from http://www.spinalinjury.net/index.html
- Brain & Spinal Cord. (2010). C-6 Spinal cord injury. Retrieved from http://www.brainandspinalcord.org/spinal-cord-injury-types/c6-spinal-cord-injury/index.html
- Medline Plus. (2009). Spinal cord trauma. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/001066.htm
Christopher Reeve
http://www.christopherreeve.org/site/c.mtKZKgMWKwG/b.4451921/k.2951/Paralysis_Resource_Center_Home.htm
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