Spinal Cord levels (NBCOT COTA)
Questions and Solutions
Spinal cord injury Level C1-3
Expected functional outcome: - answer • *ventilator dependent*
• total physical assistance for BADL & IADL
• able to direct care needs
Spinal cord injury Level C4
Expected functional outcome: - answer • initially ventilator dependent; progress to
*breathing independently* with reduced vital capacity
• total physical assistance for BADL & IADL
• able to direct care needs
• *power wheelchair with adaptations for independence in mobility*
• total assistance for bed mobility and transfers
Spinal cord injury Level C5
Expected functional outcome: - answer • independent respiratory function with
reduced vital capacity; may need assistance for a productive cough
• *total assistance for bowel and bladder management*
• *independent self-feeding with adaptive devices*
• assistance for grooming with adaptive devices
• total assistance for bathing
Spinal cord injury Level C6
Expected functional outcome: - answer • independent respiratory function with
reduced vital capacity; may need assistance for a productive cough
• *minimal to total assistance for bowel and bladder management with adaptive devices*
• may need *some assistance for basic ADL, transfers and bed mobility with adaptive
devices* (slideboard), and outdoor *wheelchair propulsion in a manual wheelchair*
• total assistance for standing
Spinal cord injury Level C7-T1
Expected functional outcome: - answer • independent respiratory function
• *assistance for bowel management*
• *modified independence for basic ADL (seated)*
• some assistance for standing
• *modified independence for bed mobility and transfer*
• *independent driving with modifications*
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