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NBCOT-COTA-Functional Abilities by Spinal Cord Injury Level

Terms in this set (30)

C1-C3 movement possible
neck control, chew, swallow, talk, sip, puff, some scapular elevation.
C1-C3 patterns of weakness
complete paralysis of trunk, UEs and LEs; dependence on respirator.
C1-C3 functional potential
requires full-time attendant care; total dependence c ADLs and t/fs; can propel power w/c equipped c portable respirator and chin, head, puff, or sip controls; can operate communication and environmental control systems c head master, head pointer, mouth stick, or pneumatic control.
C4 movements possible
respiration, scapula elevation, neck movements
C4 pattern of weakness
paralysis of trunk, UEs and LEs (except scapula elevation).
C4 functional potential
good potential to control breathing s ventilator; require full-time attendant care; can drink c long straw; total dependence s ADLs and t/fs; can independently power w/c with chin, head, sip, or puff controls; activities can be accomplished through use of mouth stick, head pointer, voice recognition software, or tongue touch key pad.
C5 movements possible
shoulder abduction, flexion, extension, horizontal abduction, horizontal adduction, internal and external rotation; scapular protraction and retraction; elbow flexion and supination.
C5 pattern of weakness
total paralysis of trunk and LEs; low endurance b/c of paralysis of intercostal and low respiratory reserve; no active elbow extension, forearm pronation, hand or wrist mvmt.
C5 functional potential
c AE or splints and set-up assistance, can perform eating, handwriting, light hygiene, shaving, telephoning, and typing; may be independent in UB dressing, if mm strength is good; otherwise may need min-modA; dependent in LB c t/fs (may be able to assist in rolling in bed, using side rails or loops); independent c power w/c; may drive a van c substantial adaptions; can write independently c wrist support and writing device; require a min of at least part-time attendant care.
C6 movements possible
full strength c shoulder movements (flex/extension, ab/adduction, internal/external rotation); forearm pronation and supination; radial wrist extension; gross grasp and gross pretension via tenodesis action; good stability of scapula on trunk.
C6 pattern of weakness
no elbow extension or ulnar wrist extension; endurance may be low, no active wrist flexion; complete paralysis of trunk and LEs.
C6 functional potential
able to perform many activities independently c tenodesis splint or universal cuff, such as self-feeding with regular utensils, personal hygiene, and grooming; independent in UB dressing; minA for LB dressing; bed mobility, independence in rolling side-to-side and minA from supine to sit; assists c t/fs by substituting should adduction and external rotation for elbow ext; may be independent c a sliding board; independent c manual w/c on level terrain or slight incline; requires AE and assistance for bathing and bowel care; Independent at driving a car c hand controls; may participate in w/c sports; may require part-time attendant care.
C7 movements possible
elbow extension; full strength of all shoulder movements; finger flexion but weak; finger MP joint extension; radial wrist flexion; ulnar wrist extension; thumb extension.
C7 pattern of weakness
limited grasp, release, and dexterity; complete paralysis of trunks and LEs.
C7 functional potential
Independent in ADL; can perform t/fs independently; independent bed mobility; independent for push-up in w/c for pressure release; independent c driving c hand controls; independent c bowel and bladder care; independent c manual w/c.
C8-T1 movement possible
full control of UEs, including finger flexion, isolated finger and thumb movements, fine coordination, and grasp.
C8-T1 pattern of weakness
paralysis of LEs; weakness of trunk control; lower respiratory reserves.
C8-T1 functional potential
independent in ADL, c t/fs and bed mobility.
T4-T9 movements possible
full arm function; partial trunk stability; increased endurance.
T4-T9 pattern of weakness
total paralysis of LEs; partial trunk paralysis.
T4-T9 functional potential
independent in all self-care, manual w/c, and t/fs; drives car independently c adaption; may use standing frame independently; independent light housekeeping.
T10-L2 movements possible
good trunk stability; increased physical endurance.
T10-L2 pattern of weakness
paralysis of LEs.
T10-L2 functional potential
independent in self-care, work, personal hygiene, and housekeeping; drives car c hand controls; often uses w/c but can ambulate c difficulty using crutches and braces.
L3-L4 movements possible
trunk stability and control; hip flexion; hip adduction; knee extension.
L3-L4 pattern of weakness
individual cannot perform hip extension, knee flexion or ankle and foot movements.
L3-L4 functional potential
can ambulate independently c short leg braces using crutches; may still use a w/c for energy conservation.
L5-S3 movement possible
partial to full control of LEs.
L5-S3 pattern of weakness
may have weakness of ankle and foot; possible decrease in standing and walking tolerance modifications.
L5-S3 functional potential
independent in all activities; can drive car s modification; may require braces for ambulation.
THIS SET IS OFTEN IN FOLDERS WITH...