Certified Rehabilitation Counselor Practice

Which of the following statements is true regarding wheelchair ambulation?

1. It is possible for those with C1 injuries.

2. It may be required for individuals with C3 injuries.

3. Independent ambulation may be possible at C5.

4. It is not allowed for any SCI patients.

The correct answer is: Independent ambulation may be possible at C5.

Independent ambulation is most feasible for individuals with C5 spinal cord injuries due to the level of functioning retained at this injury level. Individuals with a C5 injury often retain some use of their shoulder and elbow muscles, allowing for limited movement and the possibility of operating a manual wheelchair. This mobility is an essential aspect of rehabilitation, as individuals with a C5 injury may be trained in the use of modified equipment or devices that facilitate greater independence. At other injury levels, such as C1 or C3, the extent of muscular and functional impairment would typically prevent independent ambulation. Individuals with C1 injuries generally have little to no control of the upper limbs, leading to significant challenges in mobility. Similarly, while C3 injuries allow more respiratory control, they still limit the ability to propel a wheelchair independently without the help of assistive technology. The misconception that ambulation is not allowed for any spinal cord injury (SCI) patients overlooks the varying degrees of mobility that different injury levels can allow. Rehabilitation aims to maximize independence regardless of injury level, making it essential for professionals in the field to understand the unique capabilities of individuals with different spinal cord injuries.