Spinal Cord Injury Levels - Functionality of C7 - C8 Spinal Cord Injury
Mobility & Movement
Full head and neck movement with good muscle
strength. Good shoulder movement.
Complete paralysis of body and legs. Partial
finger movement,full elbow extension and flexion, full wrist
extension and flexion.
A C7 injured person will have movement in the
Sympathetic nervous system will be compromised,
possibility of Autonomic Dysreflexia.
May use an electric wheelchair for long independent
travel or uneven outdoor surfaces. A manual wheelchair may
be used for short distances on flat surfaces.
Ability to transfer independently
from bed to chair, and chair to car. Car transfers may need
assistance depending on upper body strength.
Ability to drive a car adapted
with hand controls. Assistance may be required to load wheelchair
into car independently.
Ability to feed self independently
during mealtimes. Food may need cutting. Able to make hot
drinks , may require an adapted kettle using a "kettle
Able to breathe without a ventilator
using diaphragm. Low stamina.
Assistance required to clear secretions
and assistance in coughing may be required. Additional coughing
techniques can be applied to assist in coughing by leaning
forward whilst exhaling.
Ability to manage bladder and
bowel independently will vary depending on strength and dexterity.
Independent in upper body showering
and dressing, lower body dressing and showering may need assistance.
Independent in grooming, usually
without palm straps.
Partial domestic assistance is
required, such as heavy household cleaning, home maintenance,
and complex preparation of meals.
Ability to prepare simple meals
and simple general household duties independently.
A computer may be operated using
a typing 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.