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SCI levels for COTA
Levels of SCI injury
| Term | Definition |
|---|---|
| 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
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