Conquer the NBCOT-COTA Exam:
Functional Abilities by Spinal Cord
Injury Level with Practice Questions and
Answers.
C1-C3 movement possible -
\neck control, chew, swallow, talk, sip, puff, some scapular elevation.
C1-C3 patterns of weakness -
\complete paralysis of trunk, UEs and LEs; dependence on respirator.
C1-C3 functional potential -
\requires full-time attendant care; total dependence c ADLs and t/fs; can propel power
w/c equipped c portable respirator and chin, head, puff, or sip controls; can operate
communication and environmental control systems c head master, head pointer, mouth
stick, or pneumatic control.
C4 movements possible -
\respiration, scapula elevation, neck movements
C4 pattern of weakness -
\paralysis of trunk, UEs and LEs (except scapula elevation).
C4 functional potential -
\good potential to control breathing s ventilator; require full-time attendant care; can
drink c long straw; total dependence s ADLs and t/fs; can independently power w/c with
chin, head, sip, or puff controls; activities can be accomplished through use of mouth
stick, head pointer, voice recognition software, or tongue touch key pad.
C5 movements possible -
\shoulder abduction, flexion, extension, horizontal abduction, horizontal adduction,
internal and external rotation; scapular protraction and retraction; elbow flexion and
supination.
C5 pattern of weakness -
\total paralysis of trunk and LEs; low endurance b/c of paralysis of intercostal and low
respiratory reserve; no active elbow extension, forearm pronation, hand or wrist mvmt.
C5 functional potential -
\c AE or splints and set-up assistance, can perform eating, handwriting, light hygiene,
shaving, telephoning, and typing; may be independent in UB dressing, if mm strength is
Functional Abilities by Spinal Cord
Injury Level with Practice Questions and
Answers.
C1-C3 movement possible -
\neck control, chew, swallow, talk, sip, puff, some scapular elevation.
C1-C3 patterns of weakness -
\complete paralysis of trunk, UEs and LEs; dependence on respirator.
C1-C3 functional potential -
\requires full-time attendant care; total dependence c ADLs and t/fs; can propel power
w/c equipped c portable respirator and chin, head, puff, or sip controls; can operate
communication and environmental control systems c head master, head pointer, mouth
stick, or pneumatic control.
C4 movements possible -
\respiration, scapula elevation, neck movements
C4 pattern of weakness -
\paralysis of trunk, UEs and LEs (except scapula elevation).
C4 functional potential -
\good potential to control breathing s ventilator; require full-time attendant care; can
drink c long straw; total dependence s ADLs and t/fs; can independently power w/c with
chin, head, sip, or puff controls; activities can be accomplished through use of mouth
stick, head pointer, voice recognition software, or tongue touch key pad.
C5 movements possible -
\shoulder abduction, flexion, extension, horizontal abduction, horizontal adduction,
internal and external rotation; scapular protraction and retraction; elbow flexion and
supination.
C5 pattern of weakness -
\total paralysis of trunk and LEs; low endurance b/c of paralysis of intercostal and low
respiratory reserve; no active elbow extension, forearm pronation, hand or wrist mvmt.
C5 functional potential -
\c AE or splints and set-up assistance, can perform eating, handwriting, light hygiene,
shaving, telephoning, and typing; may be independent in UB dressing, if mm strength is
