Functional outcomes for complete lesions

Bed mobility: high tetraplegia (C1-5)

dependent (C1-4)

ModA (C5)

verbally direct

Bed mobility: Mid-level tetraplegia (C6)

MinA - ModI w/ equipment

verbally direct

Bed mobility: Low tetraplegia (C7-8) and Paraplegia

Independent

Transfers: High tetraplegia (C1-5)

dependent (C1-4)

MaxA w/ sliding board (C5)

verbally direct

Transfers: Mid-level tetraplegia (C6)

MinA - ModI for slide board transfers

dependent w/ wc loading in car

dependent w/ floor transfers and uprighting wc

verbally direct

Transfers: low tetraplegia (C7-8)

ModI - Ind w/ level surface transfer (sliding board)

ModA - ModI w/ car transfer

MaxA - ModA w/ floor transfers and uprighting wc

verbally direct

Transfers: Paraplegia

Independent w/ level surface and car transfers (depression)

MinA - Independent w/ floor transfers and uprighting wc

verbally direct

Weight shifts: high tetraplegia (C1-5)

setup - ModI w/ power recline/tilt weight shift

Dependent w/ manual recline/tilt/lean weight shift

verbally direct

weight shifts: Mid-level Tetra (C5)

ModI w/ power recline/tilt weight shift

MinA - ModI w/ side to side/fwd lean weight shift

verbally direct

Weight shift: Low Tetra (C7-8)

ModI w/ side to side/fwd lean, or depression weight shift

Weight shift: Paraplegia

ModI w/ depression weight shift

Wheelchair management: high tetra (C1-5)

Dependent w/ all

able to verbally direct

Wheelchair management: Mid-level tetra (C6)

some assistance required

able to verbally direct

Wheelchair management: Low-level tetra (C7-8)

may require assistance w/ cushion adjustment, anti-tip levers, wc maintenance

able to verbally direct

Wheelchair management for Paraplegia

Independent with all

Wheelchair mobility: Tetraplegia (C1-5)

Supervision/setup - ModI on smooth, ramp, and rough terrain w/ power ec

ModI w/ manual wc on smooth surface in fwd direction (C5)

MaxA - Dependent w/ manual wc in all situations (C5)

able to verbally direct

Wheelchair mobility: Mid-level tetra (C6)

ModI in smooth, ramp, and rough terrain w/ power wc

Dependent - MaxA up/down curb w/ power wc

ModI on smooth surface w/ manual wc

MaxA - ModA up/down curbs w/ manual wc

able to verbally direct

Wheelchair mobility: C7-8

ModI on smooth, ramp, and rough terrain w/ power wc

Dependent - MaxA up/down curbs w/ power wc

ModI on smooth surface and up/down ramps w/ manual wc

MinA - ModI on rough terrain

ModA - MinA up/down curbs w/ manual wc

Dependent - MaxA up/down steps w/ manual wc

can verbally direct

Wheelchair mobility: Paraplegia

MinA - ModI up/down 6” curbs w/ manual wc

ModI w/ descending steps w/ manual wc

MaxA - MinA to ascend steps w/ manual wc

able to verbally direct

Gait: Paraplegia

Abilities range from:

• exercise only w/ KAFO

• household gt w/ KAFO

• limited community gt w/ KAFO or AFO

• functional community ambulation w/ or w/out orthosis

ROM/Positioning: C1-5

Dependent

able to verbally direct

ROM/Positioning: C6

ModA - ModI w/ all

able to verbally direct

ROM/Positioning: C7-8

MinA - ModI w/ all

able to verbally direct

ROM/Positioning and Feeding: Paraplegia

Independent

Feeding: C1-5

Dependent (C1-4)

MinA w/ adaptive equipment (C5)

able to verbally direct

Feeding: C6

ModI w/ adaptive equipment

Feeding: C7-8

ModI w/ adaptive equipment (C7)

Grooming: C1-5

Dependent (C1-4)

MinA w/ adaptive equipment for face, teeth, makeup/shaving (C5)

MaxA/ModA for hair grooming (C5)

able to verbally direct

Grooming: C6

ModI w/ adaptive equipment

Grooming: C7-8

ModI

Grooming: paraplegia

Independent

Dressing, Bathing, and Bowel/Bladder Problems: C1-5

Dependent

able to verbally direct

Dressing: C6

ModI for Upper body in bed or wc

MinA w. lower body dressing in bed

ModA w/ lower body undressing in bed

able to verbally direct

Dressing: C7-8

ModI for upper/lower body dressing in bed

MinA w/ lower body dressing/undressing in bed

ModI for upper/lower body dressing/undressing in wc (C8)

able to verbally direct

Dressing: Paraplegia

ModI

Bathing: C6

MinA for upper body bathing and drying

ModA for lower body bathing and drying

use of shower or tub chair

able to verbally direct

Bathing: C7-8

ModI w/ all using shower/tub chair

Bathing: paraplegia

ModI w/ all on tub bench or tub bottom cushion

Bowel/Bladder Problems: C6

bladder

• MinA for male in bed/wc

• ModA for female in bed

bowel

• ModA w/ use of equipment

• able to verbally direct

Bowel/Bladder Problems: C7-8

bladder

• ModI for male in bed/wc

• ModI for female in bed; ModA for female in wc

bowel

• MinA - ModI w/ use of adaptive equipment

• able to verbally direct

Bowel/Bladder Problems: paraplegia

bladder

• ModI for male and female

bowel

• ModI for male and female