Spinal level | Activities of daily living | Mobility/locomotion |
C1-C4 | Feeding possible with balanced forearm orthoses Computer access by tongue, breath, voice controls Weight shifts with power tilt and recline chair Mouth stick use | Operate power chair with tongue, chin, or breath controller |
C5 | Drink from cup, feed with static splints and setup Oral/facial hygiene, writing, typing with equipment Dressing upper body possible Side-to-side weight shifts | Propel chair with hand rim projections short distances on smooth surfaces Power chair with hand controller |
C6 | Feed, dress upper body with setup Dressing lower body possible Forward weight shifts | Bed mobility with equipment Level surface transfers with assistance Propel indoors with coated hand rims |
C7 | Independent feeding, dressing, bathing with adaptive equipment, built-up utensils | Independent bed mobility, level surface transfers Wheelchair use outdoors (power chair for school or work) |
C8 | Independent in feeding, dressing, bathing Bowel and bladder care with setup | Propel chair, including curbs and wheelies Wheelchair-to-car transfers |
T1 | Independent in all self-care | Transfer from floor to wheelchair |
T2-L1 | Stand with braces for exercise | |
L2 | Potential for swing-to gait with long leg braces indoors Use of forearm crutches | |
L3 | Potential for community ambulation Potential for ambulation with short leg braces | |
L4-S1 | Potential for ambulation without assistive devices |
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