Expected Functional Outcomes

Question 1

C4

Answer 1

• Upper traps, no upper extremity function
• Power wheelchair with electronic control (sip/puff)
• Dependent in all transfers and ADL
• Full-time attendant
• No functional ambulation

Question 2

C5

Answer 2

• Shoulder movement, Elbow flexion, NO TRICEPS
• Power wheelchair with hand control, manual chair with rim projections, and power assist available
• Moderate to maximum assistance with bed mobility and transfers (USE LOOPS)
• Attendant for activity set-up
• No functional ambulation

Question 3

C6

Answer 3

• Wrist extension, NO TRICEPS
• Manual wheelchair with rim projections and power assist
• INDEPENDENT/ some assist level transfers, uneven some assist to total assist sliding board,
• Not easy, some pt’s can but rarely on acute rehabilitation, best is usually MOD/MIN assit
• Driving possible with hand controls
• Attendant for am/pm care
• No functional ambulation

Question 4

C7C8

Answer 4

• Elbow extension, some hand function
• Manual wheelchair, Independant on level of terrain, some assist with un-level terrain
• Bed skills independent to some assist
• Transfers independent (slide board vs. depression)
• Independent living
• No functional ambulation

Question 5

T1-T9

Answer 5

• Increasing vital capacity and trunk control at lower levels
• Manual wheelchair independent all terrain
• Bed skills independent
• Transfers independent
• Therapeutic standing
• Functional ambulation not typical

Question 6

T10 - L2

Answer 6

• 100% of vital capacity
• Household ambulation with KAFO’s possible but high energy cost
• Independent bed/transfer/wheelchair skills

Question 7

L3

Answer 7

• Knee Extension
• Community ambulation possible with KAFO’s
• Lofstrand crutches or AFO’s
• Independent bed/transfer/wheelchair skills

Question 8

L4

Answer 8

• Dorsiflexion, Knee flexion
• Community ambulation likely with AFO’s
• Independent bed/transfer/wheelchair sills