-
C1-3
- sternocleidomastoid
- cervical paraspinal
- neck accessories
-
C-4
- trapezius
- diaphragm
- cervical paraspinal
-
C-5
- rhomboids
- deltoid
- biceps
- brachialis
- brachioradialis
- serratus ant (partially innervated)
-
C-6
- clavicular pec supinator
- extensor carpi radialis longus & brevis
- serratus anterior
- lat dorsi
-
C-7
- serratus ant
- pec major clavicular head
- coracobrachialis
- (lat dorsi
- biceps long head)
-
C-8
- lat dorsi
- triceps long head
- (pec minor
- pec major sternal head)
-
C1-3 functional
- ventilator dependent
- generally total assist
- I power wheelchair
- 24-hour care
-
C4 functional
- maybe w/o ventilator
- generally total assist
- power wheelchair
- 24-hour care
-
C5 functional
- respiratory: low endurance & vital capacity
- bed mobility: some assist
- bowel & bladder: total assist
- eating: total assist for setup, I with equipment
- dressing: LE total A, UE some assist
- manual w/c some assist--I
- communication: I-some assist with setup for equipment
-
C6 functional
- respiratory: low endurance & vital capacity
- bowel & bladder: some to total assist
- bed mobility: some
- w/c I indoors, some assist outdoors
- transportation: I driving from w/c
-
C7-8 functional
- respiratory: low endurance & vital capacity
- bowel: some to total A
- bladder: I-some assist
- level bed/w/c transfer: I
- LE dressing: some assist
- w/c: totally independent
- transportation: drive if can transfer and load w/c
-
C1-3 movement
- possible:
- neck flex, ext, rotation
- weakness:
- total paralysis of trunk, UE, LE
- dependent on ventilator
-
C4 movement
- possible:
- neck flex, ext, rotation
- scap elevation
- inspiration
- weakness:
- paralysis of truk, UE, LE
- inability to cough
- endurance & respiratory reserve low
-
C5 movement
- possible:
- shoulder flex, abd, ext
- elbow flex, supination
- scap add, abd
- weakness:
- absence of elbow ext, pronation, all wrist/hand mvmnt
- total paralysis of trunk and LE
-
C6 movement
- possible:
- scap protraction
- some horizontal add, forearm supination, radial wrist ext
- weakness:
- no wrist flex, elbow ext, hand mvmnt
- total paralysis of trunk and LE
-
C7-8 movement
- possible:
- elbow ext
- ulnar/wrist ext
- wrist flex
- finger flex and ext
- thumb flex, ext, abd
- weakness:
- paralysis of trunk & LE
- limited grasp/release and dexterity
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