Functionality of C6 Spinal Cord Injury

Mobility & Movement

Full head and neck movement with good muscle strength. Good shoulder movement.

Complete paralysis of body and legs. No finger movement, no elbow extension, no wrist flexion. Good wrist extension, good elbow flexion.

A passive key grip may be present by flexing the wrist backwards, but will be weak.

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

Electric wheelchair can be controlled with a hand control for uneven outdoor surfaces. A manual wheelchair may be used for short distances on flat surfaces.

The person will require total assistance when transferring from floor to chair. Assistance will vary for transfer from bed to wheelchair, and wheelchair to car. A sliding board may be used in assisting with the transfer

Ability to feed self using feeding strap and fork or spoon during mealtimes. Food will need cutting. Able to make hot drinks with adapted kettle using a "kettle tipper".

Respiratory System

Able to breathe without a ventilator using diaphragm. Low stamina.

Assistance required to clear secretions and assistance in coughing may be required. Additional coughing techniques can be applied to assist in coughing by leaning forward whilst exhaling.

Personal Care

Personal assistance is required. The person will need assistance with washing, dressing, and assistance with bowel and bladder management. Ability to empty own legbag will depend on dexterity and strength.

Ability to partially dress upper body, however, assistance may be required to dress lower body.

Ability to shave, brush hair and brush teeth is possible with palm straps.

Domestic Care

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

Ability with adapted equipment to prepare simple meals and simple general household duties.

Communication

A computer may be operated using a typing stick or voice recognition. Telephone can be used using voice recognition and headset.