Spine

3 Pages 637 Words

Functional Goals following SCI - Basic
SCI - Functional Goals for Specific Levels of Complete Injury

Level Abilities Functional Goals
C1-C3 C3-limited movement of head and neck Breathing: Depends on a ventilator for breathing.
Communication: Talking is sometimes difficult, very limited or impossible. If ability to talk is limited, communication can be accomplished independently with a mouth stick and assistive technologies like a computer for speech or typing.
Effective verbal communication allows the individual with SCI to direct caregivers in the person's daily activities, like bathing, dressing, personal hygiene, transferring as well as bladder and bowel management.
Daily tasks: Assistive technology allows for independence in tasks such as turning pages, using a telephone and operating lights and appliances.
Mobility: Can operate an electric wheelchair by using a head control, mouth stick, or chin control. A power tilt wheelchair also for independent pressure relief.
C3-C4 Usually has head and neck control.
Individuals at C4 level may shrug their shoulders Breathing: May initially require a ventilator for breathing, usually adjust to breathing full-time without ventilatory assistance.
Communication: Normal.
Daily tasks: With specialized equipment, some may have limited independence in feeding and independently operate an adjustable bed with an adapted controller.
C5 Typically has head and neck control, can shrug shoulder and has shoulder control. Can bend his/her elbows and turn palm Daily tasks: Independence with eating, drinking, face washing, brushing of teeth, face shaving and hair care after assistance in setting up specialized equipment.
Health care: Can manage their own health care by doing self-assist coughs and pressure reliefs by leaning forward or side -to-side.
Mobility: May have strength to push a manual wheelchair for short distances over smooth surfaces. A power wheelchair with hand contr...