Spinal Cord Injury Levels - Functionality of C1, C2, C3 Quadriplegic

Mobility & Movement

Limited head and neck movement depending on muscle strength.

Complete paralysis of arms, body and legs.

Sympathetic nervous system will be compromised, possibility of Autonomic Dysreflexia.

Electric wheelchair may possibly be controlled by either a chin or "sip and puff" controller, this will vary depending on dexterity.

The person will require total assistance when transferring from a bed to a wheelchair and from a wheelchair into a car. A hoist will have to be used, possibly by two assistants for safety.

Complete assistance required during mealtimes.

Respiratory System

Inability to breathe using chest muscles or diaphragm, therefore the person will be dependant on a ventilator to breathe. A portable ventilator can be attached to the back of a wheelchair during transport.

Oxygen and humidification may be required.

Assistance required to clear secretions from trachea, and assistance in coughing will be required.

Personal Care

Complete personal assistance is required. The person will need assistance with washing, dressing, and assistance with bowel and bladder management.

Domestic Care

Complete domestic care is required, such as household cleaning, washing of clothes and kitchen duties, preparation of meals and general household duties.

Communication

A computer may be operated using iris recognition, mouth stick or voice recognition. Telephone can be used using voice recognition and headset.