Acquired Spinal Cord Injuries

Spinal Cord Injuries Explained

The SpineC4 – Complete Quadriplegia muscle innervation pertains to neck muscles with limited innervations of neck muscles with limited innervations of shoulder girdle muscles

Functional Ability

  • Able to breathe independently although respiratory capacity will be reduced
  • Will be dependent for all activities of daily living such as bathing, viagra 100mg dressing, sildenafil transfers, more about bladder & bowel routines, feeding etc.
  • Able to drive power by using chin or head in addition to sip and puff controls
  • Able to move head, shrug shoulder
  • Able to access environment only through an environmental control unit set up through head controls, chin control or sip and puff
  • A computer will be required for communications using a mouth stick, head pointer and / or voice activation
  • In some cases mouth writing is a possibility

C5 – Complete Quadriplegia muscle innervations of neck, shoulder, girdle, elbow flexors, and possibly weak wrist extensors.

 Functional Ability

  • Dependent for transfers, bathing, dressing, bladder and bowel routines
  • Able to push a lightweight manual wheelchair over level surfaces for short distances with the use of peg rims
  • Able to assist with self-care
  • Able to use a splint for writing and use of a computer
  • Able to drive a power wheelchair using hand controls
  • Able to feed with set up of equipment and food
  • Possibly able to drive a fully modified vehicle

C6-Muscle innervations of neck, shoulder girdle, shoulder elbow flexors, wrist extensors and partial forearm pronators.

C7 – Complete Quadriplegia muscle innervations of neck shoulder girdle, shoulder elbow flexor and extensors, wrist flexors and extensors and partial innervations of the hand.

Functional Ability

  • Able to transfer independently
  • Should be able to dress independently – some assistance may be required with fine finger function such as buttons
  • Should achieve independence with bathing, bladder and bowel routines, some adaptive equipment may be required
  • Able to manage basic meal preparation
  • Independent manual wheelchair ability
  • Will require Attendant Care for homemaking, shopping etc.
  • Is able to drive a modified vehicle

T1-T6 – Complete Paraplegia muscle innervations of the upper limbs with partial innervations of the intercostals and trunk musculature.

Function Ability

  • Independence in bathing, dressing grooming, self-care, transfers and meal preparation in a wheelchair accessible environment
  • Able to drive an adapted vehicle
  • Full mobility using a manual wheelchair
  • Should have sufficient endurance to manage community activities unless there are pre-existing medical conditions or where age is a factor
  • Possible use of long leg braces for standing and not wheelchair access

T7-T12 – Complete Paraplegia muscle innervations of the upper limbs and trunk to waist level including the abdominal musculature.

Function Ability

  • Full independence from a wheelchair
  • Level of ambulating dependent on muscle sparing, use of braces and walking aids

Cauda Equina – muscle innervations of upper limb, trunk and partial innervations of the lower limbs dependent or existent of injury

  • Full independence from a wheelchair
  • Level of ambulating dependent on muscle sparing
  • Use of braces and walking aids

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