Spinal Cord Injury Levels - Functionality of C4 Spinal Cord Injury

Mobility & Movement

Full head and neck movement depending on muscle strength. Limited shoulder movement.

Complete paralysis of body and legs. No finger, wrist or elbow flexion or extension.

Sympathetic nervous system will be compromised, possibility of Autonomic Dysreflexia.

Electric wheelchair may be controlled by either a chin or "sip and puff" controller, this will vary depending on dexterity.

The person will require total assistance when transferring from a bed to a wheelchair and from a wheelchair into a car. A hoist will have to be used, possibly by two assistants for safety.

Complete assistance required during mealtimes.

Respiratory System

Able to breathe without a ventilator using diaphragm.

Assistance required to clear secretions and assistance in coughing will be required.

Personal Care

Complete personal assistance is required. The person will need assistance with washing, dressing, and assistance with bowel and bladder management.

Domestic Care

Complete domestic care is required, such as household cleaning, washing of clothes and kitchen duties, preparation of meals and general household duties.

Communication

A computer may be operated using iris recognition, mouth stick or voice recognition. Telephone can be used using voice recognition and headset.