C1-C2
Dependent on ventilator
C3
Dependent in all ADLs
Dependent in bed mobility and transfers
C4
No UE innervation
Dependent in all ADLs, bed mobility and transfers
C5
Working:
* Elbow flexors
Prone to elbow flexion contractures
Dependent in bathing and dressing
Consider energy and time requirements for activity completion
C6
No elbow extension or hand function
- susceptible to contractures
C7
No finger muscles
Transfers to floor - requires moderate or maximal assistance
Assistance:
* to right WC
* (some) needed for WC propulsion on ramps and uneven terrain
C8
Some intrinsic hand function
Writing, fine-motor coordination activities can be difficult
Assistance with floor transfers
T1-T8
No lower abdominal muscle function
Minimal assistance to independent with floor transfers and righting WC
T9-T11
No hip flexor function
T12-L2
No quadriceps function
WC used for community ambulation
L3-below
No gluteus maximus function
S1-S2
Loss of bowel and bladder function
