Functionality of C7 - C8 Spinal Cord Injury

Mobility & Movement

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

Complete paralysis of body and legs. Partial finger movement,full elbow extension and flexion, full wrist extension and flexion.

A C7 injured person will have movement in the thumb.

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

May use an electric wheelchair for long independent travel or uneven outdoor surfaces. A manual wheelchair may be used for short distances on flat surfaces.

Ability to transfer independently from bed to chair, and chair to car. Car transfers may need assistance depending on upper body strength.

Ability to drive a car adapted with hand controls. Assistance may be required to load wheelchair into car independently.

Ability to feed self independently during mealtimes. Food may need cutting. Able to make hot drinks , may require an 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

Ability to manage bladder and bowel independently will vary depending on strength and dexterity.

Independent in upper body showering and dressing, lower body dressing and showering may need assistance.

Independent in grooming, usually without palm straps.

Domestic Care

Partial domestic assistance is required, such as heavy household cleaning, home maintenance, and complex preparation of meals.

Ability to prepare simple meals and simple general household duties independently.

Communication

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