Neuromuscular: Spinal Cord Injury: Wheelchair Prescription

Question 1

ASIA A/B: High cervical lesions C1-C4

Answer 1

• Electric wheel chair
• Tilt in space seating
• Reclining seat back
• Microswitch/puff and sip controls
• Portable respirator may be attached

Question 2

ASIA A/B: Patients with C5 lesions

SHOULDER FUNCTION + ELBOW FLEXION

Answer 2

• Can use manual wheel chair with propulsion aids
• Independent for short distances on smooth flat surfaces
• May choose electric wheel chair for distances and energy conservation

Question 3

ASIA A/B: Patients with C6 lesions

RADIAL WRIST EXTENSORS

Answer 3

• Manual wheel chair
• Friction surface
• Hand rims
• Independent

Question 4

ASIA A/B: Patients with C7 lesions

ELBOW EXTENSION

Answer 4

• Manual wheel chair
• Friction surface
• Hand rims
• Independent
• INCREASED PROPULSION FROM C6

Question 5

ASIA A/B: Patients with C8-T1 lesions

HAND FUNCTION

Answer 5

• Manual wheelchair

- Standard hand rims