Table 1.
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.