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What body structures/functions are affected in a C1-C4 SCI?
-Breathing
-Neck (flexion/ extension/ rotation)
-Scapular elevation (C3-C4)
What are some activity limitations (ADL/IADL considerations) in a C1-C4 SCI?
-Dependent for all ADLs
-May have trouble with swallowing and speaking
-Most likely requires mechanical ventilation due to weakness of breathing muscles*
-Potential for use of mouth stick for some daily tasks as well as other assistive technology
-C3 and C4 may be able to breathe on own
What are some activity limitations (mobility considerations) in a C1-C4 SCI?
-Dependent on power wheelchairs with different head/chin controls vs sip & puff control
-Adapted w/c van for transportation
-Total assist for transfers
What body structures/functions are affected in a C2-C4 SCI?
No movement in UE's; some neck control
What are some activity limitations (ADL/IADL considerations) in a C2-C4 SCI?
C2= requires vent support
C4= can drive power w/c with sip/puff or chin control
What body structures/functions are affected in a C5 SCI?
Shoulder abduction and elbow flexion
What are some activity limitations (ADL/IADL considerations) in a C5 SCI?
-Dependent for most ADLs
-Self feeding and grooming possible with adaptive equipment and hand splints
What are some activity limitations (mobility considerations) in a C5 SCI?
-Will rely on power wheelchair for mobility, will most likely need adaptive controls
-Adaptive w/c van for transportation
-Total assist for transfers
What body structures/functions are affected in a C6 SCI?
Wrist extensors
What are some activity limitations (ADL/IADL considerations) in a C6 SCI?
-Can be more independent with upper body ADLs, feeding and grooming using adaptive equipment and compensatory strategies
-Relies on tenodesis grasp
-May need hand splints and/or universal cuff
What are some activity limitations (mobility considerations) in a C6 SCI?
-Will most likely use power wheelchair, but may be able to self-propel manual wheelchair with adaptations on level surfaces
-Can drive adapted car
-Will most likely need assistance with transfers
What body structures/functions are affected in a C7 SCI?
Triceps and some finger extension
What are some activity limitations (ADL/IADL considerations) in a C7 SCI?
-Can be independent for most ADLs; may need assist with more difficult tasks
-May also utilize tenodesis grasp
What are some activity limitations (mobility considerations) in a C7 SCI?
-Can be independent with transfers
-Can self-propel manual wheelchair with adaptations (may need assist on unlevel surfaces and curbs)
-Can drive adapted car
What body structures/functions are affected in a C8 SCI?
Finger flexion
What are some activity limitations (ADL/IADL considerations) in a C8 SCI?
Can be independent with ADLs
What are some activity limitations (mobility considerations) in a C8 SCI?
-Should be able to transfer self
-Should be able to propel manual wheelchair
-Able to drive adapted car with hand controls
What body structures/functions are affected in a T1-T5 SCI?
-Upper chest
-Back
-Abdominal muscles
-Finger abductors (T1)*
*T1 may have some mild hand weakness; otherwise will have good arm/hand function
What are some activity limitations (ADL/IADL considerations) in a T1-T5 SCI?
Can be independent with all ADLs
What are some activity limitations (mobility considerations) in a T1-T5 SCI?
-Can be independent with transfers
-Independent with manual wheelchair
-Able to drive adapted car with hand controls
What body structures/functions are affected in a T6-T11 SCI?
-Abdominals and back muscles*
-Ejaculation (T11-T12)
*Should have fair sitting balance and trunk control; good arm function.
What are some activity limitations (ADL/IADL considerations) in a T6-T11 SCI?
Can be independent with all ADLs
What are some activity limitations (mobility considerations) in a T6-T11 SCI?
-Can be independent with transfers
-Independent with manual wheelchair
-Able to drive adapted car with hand controls
What body structures/functions are affected in an L1-L5 SCI?
-Hips, knees, hamstrings, ankles*
-Ejaculation (L1-L2)
*Will have hip and LE weakness; good trunk control and arm function
What are some activity limitations (ADL/IADL considerations) in an L1-L5 SCI?
Independent with all ADLs
What are some activity limitations (mobility considerations) in an L1-L5 SCI?
-Independent with transfers
-May need manual wheelchair, but may also be able to walk with braces and other adaptive equipment
What body structures/functions are affected in an S1-S5 SCI?
Ankles, posterior thighs, B&B, sexual function*
*May have some LE weakness; good trunk control and arm function
What are some activity limitations (ADL/IADL considerations) in an S1-S5 SCI?
Independent with all ADLs
What are some activity limitations (mobility considerations) in an S1-S5 SCI?
-Independent with transfers
-Should be able to walk with braces and/or assistive devices; may also be able to walk without any devices.
