SCI Flashcards
C1 injury
Segmental Sensorimotor fxn: Little or no sensation or
control of head and neck. No diaphragm control. Requires continuous ventilation
Dressing eating: Dependent
Elimination: Dependent
Mobility: Limited. Voice or sip-N¬puff controlled electric
wheelchair
C2 to C3 injury
Segmental Sensorimotor fxn: Head and neck sensation;
some neck control. Independent of mechanical ventilation for short periods
Dressing eating: Dependent
Elimination: Dependent
Mobility: Limited. Voice or sip-N¬puff controlled electric
wheelchair
C4 injury
Segmental Sensorimotor fxn: Good head and neck
sensation and motor control; some shoulder elevation; diaphragm movement
Dressing eating: Dependent, may be able to eat with an adaptive sling
Elimination: Dependent
Mobility: Limited to voice, mouth, head, chin, or shoulder-controlled electric chair
C5 injury
Segmental Sensorimotor fxn: Full head and neck
control; shoulder strength; elbow flexion
Dressing eating: Independent with assistance
Elimination: Maximal Assistance
Mobility: Electric or modified manual wheel chair, needs transfer assistance
C6 injury
Segmental Sensorimotor fxn: Fully innervated
shoulder; wrist extension
Dressing eating: Independent and/or with minimal assistance
Elimination: Independent and/or with minimal assistance
Mobility: Independent in transfers and wheel chair independently
C7 to C8 injury
Segmental Sensorimotor fxn: Full elbow extension;
wrist plantar flexion; some finger control
Dressing eating: Independent
Elimination: Independent
Mobility: Independent; manual wheelchair
T1 to T5 injury
Segmental Sensorimotor fxn: Full hand and finger
control; use of intercostal and thoracic muscles
Dressing eating: Independent
Elimination: Independent
Mobility: Independent; manual wheelchair
T6 to T10 injury
Segmental Sensorimotor fxn: Abdominal muscle
control, partial to good balance with trunk muscles
Dressing eating: Independent
Elimination: Independent
Mobility: Independent; manual wheelchair
T11 to L5 injury
Segmental Sensorimotor fxn: Hip flexors, hip abductors (L1-3); knee extension (L2-4); knee flexion and ankle
dorsiflexion (L4-5)
Dressing eating: Independent
Elimination: Independent
Mobility: Short distance to full ambulation with assistance
S1 to S5 injury
Segmental Sensorimotor fxn: Full leg, foot and ankle
control; innervation of perineal muscles for bowel, bladder, and sexual function (S2-4)
Dressing eating: Independent
Elimination: Normal to impaired bowel and bladder function
Mobility: Ambulate independent with or without assistance
SCI Level C1-3
- Typically vent
- Limited head/neck/speech
- 24 hour care, pain/spasticity mgmt, WC (specialty)
SCI Level C4
- Usually vent
- Have diaphragm, scalenes, SCM, traps, levator
- Will likely need communication device
- 24 hour care
SCI Level C5
- elbow flexors and biceps >3; has head/neck/shoulders
- Independence with eating, grooming
- Personal care required ~10 hours per day
SCI Level C6
- Wrist extensors >3; has lats and serratus
- Quad pegs
- Can self assist cough (better respiratory outcomes)
- Feeding, grooming, UB dressing, driving with hand controls
SCI Level C7
- Elbow extensors/triceps >3, has wrist flexors, triceps, finger extensors
- Manual WC more realistic
- More likely to be independent with transfers
