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What is impacted with a C1-C3 spinal cord injury?
-limited movement of head and neck
-paralysis in arms, hands, neck, trunk, and legs
-breathing, coughing, control of bladder/bowel may be impacted
-speech may be impacted
What is the orthotic treatment for C1-C3 spinal cord injury?
-powered specialized wheelchair
-ADL total assist
What is impacted with a C4 spinal cord injury?
-usually has head and neck control
-may shrug their shoulders
-hand, trunk and leg paralysis
What is the impact of a C5 spinal cord injury?
-typically has head and neck control. can shrug shoulders and
has shoulder control
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-elbow flexion is possible and can turn palms face down
-hand, trunk and leg paralysis
What is the impact of a C6 spinal cord injury?
-has movement of head, neck, shoulders, arms and wrist. can
shrug shoulders, bend elbows, turn palms up and down, and
extend wrists
-hand, trunk and leg paralysis
What is the orthotic recommendation for a C6 spinal cord
injury?
utilize natural tenodesis
What is the impact of a C7 spinal cord injury?
-has movement of head, neck, shoulders, arms and wrist. can
shrug shoulders, bend elbows and straighten them, turn palms up
and down, and extend wrists
-hand, trunk, and leg paralysis
What is the orthotic recommendation for C7 spinal cord
injury?
Static HO with MP extension stop allowing individual to utilize
their own tenodesis
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What is the impact of a T1 spinal cord injury?
-has added strength and precision of fingers that result in limited
or natural hand function
-trunk and leg paralysis
What is the impact of a L1/L2 spinal cord injury?
-upper extremity functions
-leg paralysis
(paraplegia)
What is the impact of a L3 spinal cord injury?
-limited hip flexion
What is the impact of a L4 spinal cord injury?
-limited quadriceps (knee extension)
-has hip flexion and adduction
What is the impact of a L5 spinal cord injury?
-limited dorsiflexion, toe extension, hip abduction and knee flexion
-has hip flexion, hip adduction, knee extension
What is the impact of a S1 spinal cord injury?
-limited knee flexion, hip extension, plantarflexion and toe flexion
-has hip flexion, adduction, abduction, knee extension, DF, toe
extension