Functional Outcomes for SC Injuries

Question 1

C1-C3

Answer 1

1) Respiratory = ventilator dependent, can’t clear secretions
2) Bed mobility = total assist (full hospital bed)
3) Bed, wc transfers = total assist with transfer board or lift with swing

Question 2

C4

Answer 2

1) Respiratory = may be able to breathe without a ventilator
2) Bed, wc transfers = total assist
3) Eating = total assist

Question 3

C5

Answer 3

1) Respiratory = low endurance and vital capacity secondary to paralysis of intercostals; may require assist to clear secretions
2) Bed Mobility = some assist with full hospital bed in pts control, side rails
3) Eating = total assist for setup, then I eating with equipment

Question 4

C6

Answer 4

1) Respiratory = same as C5
2) Bed, wc transfers = some assistance needed for level transfer
3) Eating = I w/ or w/o equipment (except cutting which is total assist)

Question 5

C7-C8

Answer 5

1) Respiratory = low endurance and vital capacity
2) Bed mobility = I to some assist
3) Eating = independent

Question 6

T1-9

Answer 6

1) Respiratory = compromised vital capacity and endurance
2) Transfers = independent
3) Standing/Ambulation = S is independent, A is typically not functional

Question 7

T10-L1

Answer 7

1) Respiratory = intact respiratory function
2) Pressure relief = independent with wc cushion, postural support devices, pressure relief mattress
3) Transportation = independent in car (including loading of wc) - with hand controls

Question 8

L2-S5

Answer 8

1) Bowel = independent with padded toilet seat
2) Pressure relief = independent with wc cushion, postural support as needed
3) Standing/Ambulation = Standing is I, A is functional (may need some assist)
* standing frame, crutches, orthoses