SPINAL CORD INJURY-FUNCTIONAL INDEPENDENCE

SUMMARY

1. The highest complete SCI level that can live independently without the aid of an attendant is C6.

2. Feeding is accomplished with a universal cuff for utensils. Transfers require stabilization of elbow extension.

3. Bowel care is performed using a suppository inserter or other apparatus for digital stimulation.

4. Outcome studies indicate that for self-care tasks, less than 20% are independent.

5. C7 level is the usual level for achieving independence.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.