Mobility & Movement
Full head and neck movement with normal muscle strength. Normal shoulder movement. Full use of arms, wrists and fingers.
Complete paralysis of lower body and legs. Upper body strength will vary depending on level of injury, but the lower the level, the stronger the upper body strength and balance.
A T4 injured person will have good strength in the chest muscles, however this will get progressively weaker the higher up the injury.
Sympathetic nervous system may be compromised, possibility of Autonomic Dysreflexia.
May use an electric wheelchair for long distance independent travel or uneven outdoor surfaces. A manual wheelchair may be used for everyday living, with the ability to go over uneven ground for short distances.
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.
Ability to feed self independently during mealtimes.
Respiratory System
Ability to breathe normal, although respiration capacity and endurance may be compromised.
Personal Care
Should be independent in personal care as long as no other factors are involved, ie, additional injuries, severe spasticity etc.
Domestic Care
Partial domestic assistance is required, such as heavy household cleaning and home maintenance.
Ability to prepare complex meals and general household duties independently.
Communication
Normal communication skills apply.
