C1-4
Will be on ventilator and dependent with most all ADLs
require 24-hr care
OT objectives for C1-4
teach how to direct care
train on communication strategies/computer devices
C5 muscles innervated
shoulders
biceps brachii
brachioradialis
brachialis
C5 movements possible
shoulder flexion, abd, ext
supination
elbow flexion
C5 function
total assist for transfers power chair or manual for short dist eating, grooming with cuffs will likely need setup UNIVERSAL CUFF=BFF
C6 intact muscles
clavicular pectoralis supinator ECRL ECRB serratus anterior lattisimus dorsi
C6 movements
scap protraction horizontal adduction supination radial wrist ext WRIST STARTS!!
C6 independence in
eating (cuff), need setup pressure relief transfer on even surfaces propel w/c on most even indoor surfaces pressure mgmt