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Your Guide to Paralysis

Introduction to spinal cord information, institutions and the disability community

View All Resources

ANIMATED SCI LEVELS CHART

Mouse over the spinal column to see how the level of injury affects loss of function and control

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Cervical Injuries

Cervical injuries above the C-4 level may require a ventilator for the person to breathe. C-5 injuries often result in shoulder and biceps control, but no control at the wrist or hand. C-6 injuries generally yield wrist control, but no hand function. Individuals with C-7, C-8 and T-1 injuries can straighten their arms, but still may have problems with their hands.

Thoracic Injuries

The first thoracic vertebra, T-1, is located approximately at the same level as the top rib. Injuries to nerves in this region usually affect the chest and the legs, and result in paraplegia. For injuries from T-1 to T-8, there is usually control of the hands but lack of abdominal muscle control. (Individuals with injuries from T-1 to T-6 are also at risk for Autonomic Dysreflexia)

Lumbar Injuries

Injuries to nerves in the area of L-1 to L-5 generally result in some loss of functioning of the hips and legs. Bowel, bladder and sexual function may also be impacted.

Sacral Injuries

The sacrum runs from the pelvis to the end of the spinal column. Injuries to nerves in this area generally result in some loss of functioning of the hips, legs, ankles, and feet. Loss of control of bowel and bladder and sexual functions is also common.

ANIMATED SCI LEVELS CHART

Mouse over the spinal column to see how the level of injury affects loss of function and control

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Cervical Injuries

Cervical injuries above the C-4 level may require a ventilator for the person to breathe. C-5 injuries often result in shoulder and biceps control, but no control at the wrist or hand. C-6 injuries generally yield wrist control, but no hand function. Individuals with C-7, C-8 and T-1 injuries can straighten their arms, but still may have problems with their hands.

Thoracic Injuries

The first thoracic vertebra, T-1, is located approximately at the same level as the top rib. Injuries to nerves in this region usually affect the chest and the legs, and result in paraplegia. For injuries from T-1 to T-8, there is usually control of the hands but lack of abdominal muscle control. (Individuals with injuries from T-1 to T-6 are also at risk for Autonomic Dysreflexia)

Lumbar Injuries

Injuries to nerves in the area of L-1 to L-5 generally result in some loss of functioning of the hips and legs. Bowel, bladder and sexual function may also be impacted.

Sacral Injuries

The sacrum runs from the pelvis to the end of the spinal column. Injuries to nerves in this area generally result in some loss of functioning of the hips, legs, ankles, and feet. Loss of control of bowel and bladder and sexual functions is also common.

Facing Disability Blog

10 Tips For Working From Home
by Ben Mattlin

A funny thing happened on the way to avoiding Covid: More and more people started working from home. For many disabled folks, the only question was, what took you so long?

...

Read all 10 tips for working from home with a disability
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Facing Disability Blog

10 Tips For Working From Home

by Ben Mattlin

A funny thing happened on the way to avoiding Covid: More and more people started working from home. For many disabled folks, the only question was, what took you so long?

Read all 10 tips for working from home with a disability

View Blog

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