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Diaphragm

C4

Deltoid, biceps; universal cuff; long opponens splint

C5

Wrist extensors, tenodesis grasp;button hook; independent driving from w/c

C6

Triceps

C7

Hand intrinsics

C8

Bowel, bladder

S2-5

Central cord syndrome

UEs more involved; cervical hyperextension could be the cause

Brown-Sequard Syndrome

Motor paralysis, loss of proprioception - ipsilateral; loss of pain, temperature and touch - contralateral

Anterior Cord Syndrome

Paralysis and loss of pain, temperature and touch. Proprioception preserved

Cauda Equina

peripheral nerves involved; below L2; flaccid paralysis;

Conus medilaris

areflexic bowel and bladder

Autonomic dysreflexia

T4-T6 and above; pounding headache, anxiety, perspiration, flushing, chills, bradycardia

Nipple line sensation

T4

Thumb, index finger

C6

Middle finger sensation

C7

Umbilicus

T10

Total assist with bowel/bladder

C5 and above

Leg bag emptying may be independent; total assist for bowel

C6

Independent with bowel and bladder program

T1 and below

Independent with power w/c

C4 and above (sip and puff)

Independent with manual w/c indoors

C6

Standing frame

T1 and below; hydraulic standing frame for levels above

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