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Spinal Cord Outcomes

NBCOT Study

QuestionAnswer
C1-C3 Expected functional outcome after SCI: • ventilator dependent • total physical assistance for BADL & IADL • able to direct care needs
C4 • initially ventilator dependent; progress to breathing independently with reduced vital capacity • total physical assistance for BADL & IADL • able to direct care needs • power wheelchair • total assistance for bed mobility and transfers
C5 • independent respiratory function with reduced vital capacity; may need assistance fo cough • total assistance for bowel and bladder management • independent self-feeding with devices • assistance for grooming with devices • total assist for bathing
C6 • independent respiratory function with reduced vital capacity; assistance cough • min to total assist for bowel/bladder • for for ADL, transfers and bed mobility w devices, and outdoor wheelchair propulsion in a manual chair • total assist for stand
C7-T1 • independent respiratory function • assistance for bowel management • modified independence for basic ADL • some assistance for standing • modified independence for bed mobility and transfer • independent driving with modifications
T2-T12 • independent to modified independence for basic ADL • modified independence for bowel and bladder management • modified independence for bed mobility, transfer, and standing • independent wheelchair mobility
L1-L5 • independent in ADL and bed mobility • ambulate with assistive devices • may use wheelchair for distance; independent with loading and unloading from the vehicle • independent driving with hand controls
C1-C4: Medical Management respiratory assistance required; complete assistance for personal and domestic care
C1-C4: Movement limited head and neck movement; tetraplegia
C1-C4: Nervous System sympathetic nervous system compromised; possible autonomic dysreflexia; no bowel or bladder control
C1-C4: Mobility electric wheelchair with sip and puff possible
C5: Medical Management low stamina, but breathing with diaphragm; complete assistance for personal and domestic care
C5 Movement full head and neck; ability to raise arms and flex elbows (no extension)
C5: Nervous System sympathetic nervous system compromised; possible autonomic dysreflexia; no bowel or bladder control
C5: Mobility electric wheelchair with hand controls
C6-8: Medical Management low stamina, but breathing with diaphragm; moderate assis- tance for personal care; complete assistance for domestic care
C6-8Movement full head and neck; ability to raise arms and flex elbows (no extension); some wrist extension
C6-8: Nervous System little bowel or bladder control
C6-8: Mobility independent transfers; electric wheelchair with hand controls; manual wheelchair for short distances; may drive with hand controls
T1-T5: Medical Management respiration capacity and endurance may be compromised; independent in personal care; partial assistance for heavy-duty domestic care
T1-T5: Movement normal upper-extremity ROM and strength
T1-T5: Nervous System little bowel or bladder control
T1-T5: Mobility independent transfers; manual wheelchair; may drive with hand controls
T6-T12: Medical Management respiration capacity and endurance may be compromised; independent in personal care; partial assistance for heavy-duty domestic care
T6-T12: Movement normal upper-extremity ROM and strength
T6-T12: Nervous System little bowel or bladder control
L1-L5: Mobility little bowel or bladder control
L1-L5: Medical Management normal respiratory system; independent in personal care; partial assistance for heavy-duty domestic care
L1-L5: Movement normal upper-extremity ROM and strength; partial paralysis in hips and legs
L1-L5 Nervous System little bowel or bladder control
L1-L5: Mobility independent transfers; may use manual wheelchair or may walk with braces; may drive with hand controls
S1-S5: Medical Management independent in personal care; partial assistance for heavy- duty domestic care
S1-S5: Movement normal upper-extremity ROM and strength; some loss of function in hips and legs
S1-S5 Nervous System little bowel or bladder control
S1-S5: Mobility independent transfers; likely able to walk with assistance or aids, though slowly and with difficulty; may drive with hand controls and load wheelchair into car independently
Created by: crystalfmulligan