Certified Rehabilitation Counselor Practice

What is a primary characteristic of an SCI at C5?

1. Complete loss of movement and sensation

2. Loss of lower limb function only

3. Potential for independent wheelchair ambulation

4. Dependence on a ventilator for breathing

The correct answer is: Potential for independent wheelchair ambulation

The primary characteristic of a spinal cord injury (SCI) at the C5 level includes some degree of functional ability, which allows for the potential for independent wheelchair ambulation. Individuals with a C5 injury typically retain movement in the shoulders and may have some elbow flexion, which can enable them to use a wheelchair with adapted techniques or equipment. Despite this, they experience significant limitations with lower limb movement and trunk control. While they may be able to execute some self-care tasks or manage a wheelchair independently, they are often reliant on assistive devices and technology to facilitate mobility. Additionally, the preservation of some arm and shoulder function stands in contrast to complete loss of movement and sensation typically seen in higher-level injuries and does not result in mere clustering of limitations to only the lower limbs or the necessity of a ventilator for breathing, which is more characteristic of injuries at higher cervical levels. Therefore, the focus of functionality at the C5 level highlights the potential for independence with proper support and technology.