ORTHOTIC WRITTEN SIMULATION 2025: REAL
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What is impacted with a C1-C3 spinal cord injury?
-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
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What is the orthotic treatment for C1-C3 spinal cord injury?
-powered specialized wheelchair
-ADL total assist
What is impacted with a C4 spinal cord injury?
-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?
-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?
-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?
utilize natural tenodesis
What is the impact of a C7 spinal cord injury?
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-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?
Static HO with MP extension stop allowing individual to utilize
their own tenodesis
What is the impact of a T1 spinal cord injury?
-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?
-upper extremity functions
-leg paralysis
(paraplegia)
What is the impact of a L3 spinal cord injury?
-limited hip flexion