SCI: LEVELS OF FUNCTION Flashcards
Intact Fully innervated UE
Intact FCU, intrinsic and extrinsic finger
flexors, FPL, FPB
C8-T1
Intact LB muscles, quad fem, medial
hamstrings, TP, TA, extensor digitorum
L4-L5
Intact Biceps brachii, brachialis,
brachioradialis, infrapinatus, supinator,
deltoids, rhomboids
C5
Can do Spontaneous ventilation, sustained, sh
shrugging, limited self-feeding,
dependent, W/C usually sip and puff
C4
Can do Can use highly modified and adaptive
vans
Ability to do tenodesis
C6
Transfers, mat & bed activities, self care Indep in all transfers and self care Can do physiologic standing but require bilat KAFO c spinal attachment
T4-T6
Intact: Facial muscles, pharyngeal, laryngeal,
neck muscles and partial innervation of
SCM
C1-C3
W/C mobility indep. Capacity to pressure relief bc of power tilt in space w/c. Can use manual w/c c plastic coated hand rim (since no grasp abilities yet)
C5
Transfers, mat & bed activities, self care indep c use of sliding board (mod indep.), overhead frames c hanging loops, swivel bars. Can self-feed, facial hygiene, limited UE dressing
C5
W/C mobility Require projection or friction surface handrims for manual w/c propulsion Can ascend up to 2 inch curbs
C6
Transfers, mat & bed activities, self care dependent, limited self feeding c adaptive equipment like mobile arm support
C4
Transfers, mat & bed activities, self care Functional amb, bilateral AFOs c crutches or canes
L4-L5
W/C mobility Can do wheelie Can ascend curbs and use standard w/c s adaptations Manual w/c c standard handrims
C8-T1
Intact Gracilis, rectus fem, iliopsoas, quad.
Lum., sartorius
L2-L4
Transfers, mat & bed activities, self care Can do household amb. And therapeutic amb Require bilat KAFOs c crutches or walker or Scott Craig Orthosis Using bilat KAFOs c crutches or walker requires the highest level of energy expenditure when it comes to all other assist. Dev. In SCI
T9-T12
Intact Lats dorsi, infraspin, pron teres, SA, TM,
ECR, clavicular part of pecs major
C6
Transfers, mat & bed activities, self care Indep. Transfers on level surface c sliding board Indep in mat and bed activities given side rails and overhead triangles Indep c adaptive equip as to self care
C6
Transfers, mat & bed activities, self care Functional amb, requiring bilat KAFOs and crutches
L2-L4
Intact diaphragm, trapezius, midcervical flexors
and extensors, scalenes, partial
rhomboids, partial lev scap
C4
Transfers, mat & bed activities, self care Can transfers indep c or s sliding board Indep c bed and mat activities
C7
W/C mobility Can access w/c propulsion on uneven terrain Can ascend 4 inch curbs Use manual w/c c friction surface hand rims
C7
Can do head motions
C1-C3
Need full time assistance, mechanical
ventilators, respirator, phrenic nerve
stimulator
C1-C3
Intact FCR, FPL, EPB, Triceps
C7
Can do Highest level for independent transfers
C5
Transfers, mat & bed activities, self care Indep transfers in all types of transfers Indep in self care
C8-T1
Intact sacrospinalis, upper half of intercostals,
semispinalis
T4-T6
Intact All intercostals and abdominals are
intact
T9-T12
W/C
mobility
need power w/c controlled by breathing
motions (sip and puff, head-chin control
w/c), power reclining for pressure relief
Also require portable respirator on w/c
as well as seatbelt and trunk support.
C1-C3
W/C
mobility
powered w/c, sip and puff, head and
chin control
C4
