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Spinal Cord Levels

Different Levels of Spinal Cord Injury

QuestionAnswer
C1-C3 Levels Mechanical ventilation, Full time attendant, Dependent with transfers and ADL's, may use power w/c with sip and puff or chin cup controls
C4 Level decreased respiration function-may not be ventilator dependent, dependent with transfers and ADL's, power w/c with chin cup, chin control or mouth stick.
C5 Level Mod A for bed mobility. Max A for transfers. May be able to perform pressure relief. Can do some self-care with adaptive equipment, attendant needed for transfers with set-up and self-care activities.
C5 Level cont. power w/c with hand controls or manual w/c with rim projections. shoulder pain and instability are common
C6 Level Tenodesis is possible at this level. Can be independent with pressure relief and possibly with rolling and sliding board transfers. Self feeding with adaptive equipment, upper body dressing with set-up. Requires assistance for lower body dressing.
C6 Level cont. May be able to drive a car with hand controls, may be able to return to work. Assistance needed for transfers. No elbow extension or hand function. Shoulder pain is common.
C7 Level Independent living is possible. Independent transfers (sliding board), w/c propulsion, pressure relief, dressing. May be able to drive, loading w/c is difficult. No finger movement
C8 Level Independent living, Low curbs in w/c (maybe), Difficulty with fine motor activities, Lack trunk stability
T1-T8 Level Independent manual w/c propulsion on ALL surfaces. THERAPEUTIC AMBULATION is POSSIBLE at T6-T8. No Lower abdominal function.
T9-T11 Independent w/c mobility. Therapeutic ambulation outside parallel bars (with orthoses). Initiate a strong cough. No hip flexor function.
T12-L2 Household ambulation with orthoses. Independent sit to stand. Uncertain bowel/bladder status (reflexive, areflexive), No quadriceps.
L3-L5 Community ambulation is possible at L3 with KAFO/AFO and cane.
S1-S2 Ambulation with articulated AFO. Loss of bowel and bladder function.
S3-S5 Sensory and or motor function in sacral segments. S4-S5 indicate an incomplete injury.
Created by: lcurtis