SCI level on expected strength and function

level C1-C4 - muscles innervated

- SCM

- traps

- cervical paraspinal

level C1-C4 - typical functional mobility

total assist with all functional mobility

- power W/C with head, chin or breath control

- mouth stick ECU

- power W/C for positioning/ pressure relief

C1-C3 are on what?

ventilator vs phrenic nerve pacing

- C4 is likely independent with breathing

C5 muscles innervated

- muscles above plus deltoid

- biceps

- brachialis

- brachioradialis

- infraspinatus

- supinator

- rhomboid

- serratus

C5 typical functional mobility

mod to maxA for bed mobility

- can help with transfer board transfers vs overhead swivel

- modI power W/C or manual with lugs on wheels

- no functional ambulation

- min to modA repositioning for skin; modI weight shift

C6 muscles innervated

- clavicular pecs

- serratus

- latissimus dorsi

- supinator extensor carpi radialis longus and brevis

C6 typical functional mobility

min to modA for bed mobility and transfers

- modI power W/C or manual (level surfaces)

- I with pressure relief

- not functional ambulation

C7 muscles innervated

all listed from C1-C6 plus

- sternal pectoralis

- triceps

- extensor and flexor carpi radialis

C7 typical functional mobility

- modI to minA for bed mobility and transfers

- modI for W/C on level surfaces

- no functional ambulation

C8 muscles innervated

C1-C7 plus finger flexors

- abductor pollicis

- some lumbrical muscles

C8 typical functional mobility

modI to minA for bed mobility and transfers

- modI for W/C on level surfaces

- no functional ambulation

T1-T9 muscle innervation

- above plus full lumbrical and some trunk muscles

T1-T9 typical functional mobility

modI for bed mobility and transfers

- modI for W/C mobility

- some therapeutic ambulation with long leg braces

T10-L2 mucles innervated

muscles above segment plus all trunk muscles

- L2 iliopsoas, adductors

T10-L2 typical functional mobility

- modI for bed mobility and transfers

- modI for W/C mobility

- some ambulation with long leg braces (KAFOs) and AD

L3-S5

- I with pressure relief

- manual W/C propulsion

- I with ambulation using AD and KAFOs or ankle-foot orthoses (AFOs)

- L3-L4 may use W/C for long distance