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. 2022 Oct 13;58(10):1447. doi: 10.3390/medicina58101447

Table 1.

Functional outcomes following complete SCIs.

Neurological Level of Injury Functional Deficit of the Patient Remaining Functional
C3 The patient cannot breathe spontaneously and needs ventilator support. -
C4 The global functional deficit requires an electric chair controlled by breathing, tongue or jaw, and static wrist orthosis for forearm and hand posture. Impairment of diaphragm function, necessary endotracheal intubation, and mechanical ventilation
C5 Totally dependent on transfers and ADL Breathe spontaneously
Does elbow flexion, Joystick-controlled wheelchair
C6 Assisted transfer,
Needing an electric chair for longer distances
Requirements of intermittent probing of the urinary bladder
Active wrist extension
Independent in activities such as nutrition, grooming, hygiene, and dressing of the upper train
C6-C7 Help for dressing the lower train
Needing a manual wheelchair
Elbow extension (C7), finger flexion (C8)
Quasi-independent for transfers
T11-T12 Needing manual chair,
Neurogenic bowel
Neurogenic bladder
Independence to perform ADLs
Walking with orthotics is initiated
L1-L2 Traveling with a chair over long distances Totally independent, capable to move short distances with walking orthotics,
Can do knee flexion and partial plantar dorsiflexion
Presenting bladder and intestinal sphincter control
Sub L5 - Total independence

C, cervical; T, thoracal; L, lumbar; ADL, activity of daily living.