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
Able to breathe without a ventilator
Assistance required to clear secretions
and assistance in coughing will be required.
Complete personal assistance is
required. The person will need assistance with washing, dressing,
and assistance with bowel and bladder management.
Complete domestic care is required,
such as household cleaning, washing of clothes and kitchen
duties, preparation of meals and general household duties.
A computer may be operated using
iris recognition, mouth stick or voice recognition. Telephone
can be used using voice recognition and headset.
The above functionality guide is only a general guide. Abilities will vary depending on the persons weight, existing medical conditions and age.