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Levels of SCI injury

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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  
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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  
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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  
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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);  
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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  
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T1-T4 UB; chest muscles   full UB movement; T4 has good chest muscles but gets weaker the higher the injury;  
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T10-L1 respiratory   normal respiratory  
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L2-S5   some hip, knee and foot movement; may be able to walk with assistance/aids  
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what level is min-mod assist for UB and D for LB   C5  
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what level requires assistance with SU for grooming   C5  
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what AE makes a person with C5 SCI I with brushing teeth and combing hair   universal cuff  
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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  
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What level can drink from a glass with a long straw   C4  
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What level is I with LB dressing performed in bed   C6  
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What level needs max assist for shoes/socks   C6  
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What level needs min assist with tub bench and slide board transfer   C6  
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What level is I in dressing but may need button hook   C7  
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What level performas depression transfers   C8-Ti  
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What level can be independent in all aspects o bowel/bladder care, including skin inspection   C7-8  
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Created by: Marathoner1984
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