NEUROLOGICAL DEFICITS: SCI Functional | Myotomes | Rancho Los Amigos | Allen Cognitive Levels | Alzheimer’s | Dementia


SCI Functional, Myotomes, Rancho Los Amigos, Allen Cognitive Levels, Alzheimer’s, Dementia

Myotomes C1-T1

  • C1-C2: neck flexion, extension and rotation -think yes/no
  • C3: lateral neck flexion -think earring caught on shirt
  • C4: shoulder elevation -think shoulder shrugs
  • C5: shoulder abduction and elbow flexion -think C5 THE ROBOT
  • C6: wrist extension -think kisses + tenodesis grasp
  • C7: elbow extension and wrist flexion, finger extension -think mic drop
  • C8: thumb flexion, extension, abduction -think telephone made of handfinger flexion
  • T1: finger abduction -think don’t smear nail polish

Burn Classification and Rehabilitation Occupational Therapy

Myotomes L2-S2 -“Girl Look at that Body”

  • L2: hip flexion
  • L3: knee extension (straighten the knee)
  • L4: dorsi flexion (toes point up)
  • L5: great toe extension -think ballet toe
  • S1: ankle plantar flexion (point foot down)
  • S2: knee flexion -butt kicks

Hand and Upper Extremity | OT Notes

Rancho Los Amigos

  • Common themes
    • Levels 1-3: Total Assistance
    • Levels 4-6: Confused
      • Attention divided, nonspecific, fleeting
    • Levels 7-8: Automatic or Purposeful
      • New learning, correct and modify behavior with assistance
  •  Level 1
    • No response, requires total assistance
    • Appear asleep
    • Level 2
      • Generalized response, requires total assistance
      • Gross reflex motor response to pain, will be the same regardless of pain and stimulus
  •  Level 3
    • Localized response, requires total assistance
    • May turn to or away from painful or auditory stimulus
    • May blink with visual stimulus (light in visual field)
    • May be able to follow and track moving items
  • Level 4
    • Confused and Agitated; requires max assistance
    • Alert and heightened state, don’t know where you are or why you are there, don’t recognize people, don’t know the time
    • Crawl out of bed, remove constraints, moody, aggressive, flight bx, happy then mad, short attention, unable to cooperate with tx
  •  Level 5
    • Confused and non-agitated, inappropriate; requires maximum assistance
    • Inappropriate: wondering, big intention of going home, inappropriate use of objects (will brush hair with toothbrush)
    • Can perform highly familiar task with enough structure and many cues
  • Level 6
    • Confused and appropriate; requires moderate assistance
    • Awareness and attention (30 MINUTES)
    • Recognition and awareness of self and others
  • Level 7
    • Automatic, Appropriate; requires minimal assistance
    • NEW LEARNING with minimal supervision
    • Attend to familiar task with 30 minutes, monitor accuracy and modify task
    • Unrealistic with planning future and unaware of how others feel, unaware of social roles
  •  Level 8
    • Purposeful, Appropriate; requires standby assistance
    • Attend to and complete task (60 minutes) even with distracting environment
    • Assistive memory devices-eg: lists

Pediatrics Occupational Therapy | Infant Reflexes, Feeding Development, Scissor skills and GM Peds Milestones

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Pediatrics Occupational Therapy

Pediatrics Occupational Therapy | Infant Reflexes, Feeding Development, Scissor skills and GM Peds Milestones

Pediatric Assessments

Pediatric Assessments: Developmental | Motor and Visual | Sensory