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SCI levels for COTA

Levels of SCI injury

TermDefinition
C1-C3 head/neck; w/c control; breathing; computer use limited head/neck movement, w/c may be possible controlled with a chin strap or sip and puff controller; dependent on a ventilator to breathe; computer may be operated with iris recognition, mouth stick or voice recognition
C4 head/neck;shoulder; w/c control; breathing; computer use full head/neck movement; limited shoulder movement; w/c may be controlled with a chin strap or sip and puff; able to breathe w/o ventilator; computer may be operated with iris recognition, mouth stick or voice recognition
C5 shoulder/elbow movement; w/c control; computer use good shoulder movement and elbow flexion; w/c can be controlled with hand control; can self feed with universal cuff; can drive a car with adapted hand controls; computer can be operated with a typing stick or voice recognition
C6 wrist movement; elbow movement; grip Good wrist extension and elbow flexion TENODESIS! ; passive key grip may be present by flexing the wrist backwards (but still weak);
C7-C8 finger movement; elbow movement; wrist movement; transfer; UB grooming/dressing; LB grooming/dressing partial finger movement, full elbow extension/flexion; full wrist extension/flexion, mvnt in thumb; I transfer from bed-w/c, w/c-car (depression transfer); I with UB grooming/dressing, may need assist with LB grooming/dressing; usually w/o palm straps
T1-T4 UB; chest muscles full UB movement; T4 has good chest muscles but gets weaker the higher the injury;
T10-L1 respiratory normal respiratory
L2-S5 some hip, knee and foot movement; may be able to walk with assistance/aids
what level is min-mod assist for UB and D for LB C5
what level requires assistance with SU for grooming C5
what AE makes a person with C5 SCI I with brushing teeth and combing hair universal cuff
What level requires suspension sling or mobil arm support; dorsal wrist splint with universal cuff; dycem to prevent slippage of plate; scoop dish or plate guard; and angled utensils for feeding C5
What level can drink from a glass with a long straw C4
What level is I with LB dressing performed in bed C6
What level needs max assist for shoes/socks C6
What level needs min assist with tub bench and slide board transfer C6
What level is I in dressing but may need button hook C7
What level performas depression transfers C8-Ti
What level can be independent in all aspects o bowel/bladder care, including skin inspection C7-8
Created by: Marathoner1984 on 2013-06-05



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