Functional implications of spinal
cord injury
Level C1–C2
Motor control
Swallow, talk, chew, blow (cough absent)
Personal independence
Type, turn pages, use telephone and computer
Equipment
Hoist, respirator, mouthstick, reclining powered wheelchair using
breath/chin control
Mobility Wheelchair
Level C3
Motor control
Neck control, weak shoulder elevation
Personal independence
As above
Equipment
Hoist, respirator, mouth/head stick, wheelchair as above
Mobility Wheelchair
, Level C4
Motor control
Respiration, neck control, shoulder shrug
Personal independence Feed possible
Equipment
Mouth/head stick, hoist, mobile arm supports, wheelchair as above
Mobility Wheelchair
Level C5
Motor control
Shoulder external rotation, protraction, elbow flexion, supination
Personal independence
Feed, groom, roll in bed, weight shift, push wheelchair on
flat, use brake
Equipment
Adapted feeding/grooming equipment and hand splints, mobile arm
supports, powered wheelchair with hand controls or lightweight manual
with grips
Mobility Wheelchair
Level C6
Motor control
cord injury
Level C1–C2
Motor control
Swallow, talk, chew, blow (cough absent)
Personal independence
Type, turn pages, use telephone and computer
Equipment
Hoist, respirator, mouthstick, reclining powered wheelchair using
breath/chin control
Mobility Wheelchair
Level C3
Motor control
Neck control, weak shoulder elevation
Personal independence
As above
Equipment
Hoist, respirator, mouth/head stick, wheelchair as above
Mobility Wheelchair
, Level C4
Motor control
Respiration, neck control, shoulder shrug
Personal independence Feed possible
Equipment
Mouth/head stick, hoist, mobile arm supports, wheelchair as above
Mobility Wheelchair
Level C5
Motor control
Shoulder external rotation, protraction, elbow flexion, supination
Personal independence
Feed, groom, roll in bed, weight shift, push wheelchair on
flat, use brake
Equipment
Adapted feeding/grooming equipment and hand splints, mobile arm
supports, powered wheelchair with hand controls or lightweight manual
with grips
Mobility Wheelchair
Level C6
Motor control