NBCOT Study
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| C1-C3 | Expected functional outcome after SCI:
• ventilator dependent
• total physical assistance for BADL & IADL
• able to direct care needs
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| C1-C4: Medical Management | respiratory assistance required; complete assistance for personal and domestic care
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| C1-C4: Movement | limited head and neck movement; tetraplegia
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| C1-C4: Nervous System | sympathetic nervous system compromised; possible autonomic dysreflexia; no bowel or bladder control
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| C1-C4: Mobility | electric wheelchair with sip and puff possible
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| C5: Medical Management | low stamina, but breathing with diaphragm; complete assistance for personal and domestic care
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| C5 Movement | full head and neck; ability to raise arms and flex elbows (no extension)
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| C5: Nervous System | sympathetic nervous system compromised; possible autonomic dysreflexia; no bowel or bladder control
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| C5: Mobility | electric wheelchair with hand controls
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| C6-8: Medical Management | low stamina, but breathing with diaphragm; moderate assis- tance for personal care; complete assistance for domestic care
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| C6-8Movement | full head and neck; ability to raise arms and flex elbows (no extension); some wrist extension
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| C6-8: Nervous System | little bowel or bladder control
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| C6-8: Mobility | independent transfers; electric wheelchair with hand controls; manual wheelchair for short distances; may drive with hand controls
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| T1-T5: Medical Management | respiration capacity and endurance may be compromised; independent in personal care; partial assistance for heavy-duty domestic care
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| T1-T5: Movement | normal upper-extremity ROM and strength
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| T1-T5: Nervous System | little bowel or bladder control
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| T1-T5: Mobility | independent transfers; manual wheelchair; may drive with hand controls
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| T6-T12: Medical Management | respiration capacity and endurance may be compromised; independent in personal care; partial assistance for heavy-duty domestic care
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| T6-T12: Movement | normal upper-extremity ROM and strength
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| T6-T12: Nervous System | little bowel or bladder control
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| L1-L5: Mobility | little bowel or bladder control
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| L1-L5: Medical Management | normal respiratory system; independent in personal care; partial assistance for heavy-duty domestic care
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| L1-L5: Movement | normal upper-extremity ROM and strength; partial paralysis in hips and legs
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| L1-L5 Nervous System | little bowel or bladder control
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| L1-L5: Mobility | independent transfers; may use manual wheelchair or may walk with braces; may drive with hand controls
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| S1-S5: Medical Management | independent in personal care; partial assistance for heavy- duty domestic care
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| S1-S5: Movement | normal upper-extremity ROM and strength; some loss of function in hips and legs
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| S1-S5 Nervous System | little bowel or bladder control
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| 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
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