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C1-C3
Function: No movement or sensation below the neck; C1-C2 Ventilator-dependent, C3 may wean off vent.
ADL: Dependent
Elimination: Dependent
Mobility: Sip-n-puff controlled power wheelchair, head array wheelchair, or eye gaze wheelchair. Ventilator-dependent patients (e.g. C1 injury) are unlikely to operate a sip and puff wheelchair. A patient with a C3 injury may be able to operate a head array wheelchair and/or chin control as well depending on neck strength, -
C4
Function: Movement and sensation of head and neck, some partial function of the diaphragm
ADL: Dependent
Elimination: Dependent
Mobility: head or chin-operated power wheelchair -
C5
Function: Controls head,neck and shoulders, flexes elbows
ADL: With assistance
Elimination: Dependent
Mobility: power wheelchair usually with goal-post joystick controller -
C6
Function: Uses shoulder, extends wrist
ADL: Independent or with assistance
Elimination: possible to self-cath men (and women with abdominal stoma) and eliminate with device.
Mobility: wheelchair, self transfer -
C7-C8
Function: Extends elbow, flexes wrist, some use of fingers
ADL: Independent
Elimination: Independent
Mobility: manual wheelchair -
T1-T5
Function: Has full hand and finger control, full use of thoracic muscles
ADL: Independent
Elimination: Independent
Mobility: manual wheelchair -
T6-T10
Function: Controls abdominal muscles, has good balance
ADL: Independent
Elimination: Independent
Mobility: manual wheelchair -
T11-L5
Function: Flexes and abducts the hips, flexes and extends the knees
ADL: Independent
Elimination: Independent
Mobility: Ambulates with leg braces, short braces, or canes -
S1-S5
Function: Full control of legs, progressive bowel, bladder and sexual function
ADL: Independent
Elimination: Independent
Mobility: Ambulates with leg braces, short braces, or canes
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References
Kirshblum S, Nieves J, Clark D, Gonzalez P, Cuccurullo SJ, Luciano L. Physical Medicine and Rehabilitation Board Review. Cuccurullo SJ LJ, editor. 3 rd ed. New York, NY: Demos Medical; 2015. Chapter 7, Spinal cord injuries. p.551-620.