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C4 Go o d h e a d a n d n e ck s e n s a tio n De p e n d e n t; m a y b e De p e n d e n t Lim ite d to vo ice , and motor management; some in a position to eat with mouth-, head-, chin-, shoulder elevation; diaphragm adaptive sling or shoulder-controlled movement electrical wheelchair C5 Fu ll h e a d a n d n e ck co n tro l; In d e p e n d e n t w it h Maxim al assistance Electric or m odi ed shoulder energy; elbow assistance manual wheelchair, exion needs switch assistance C6 Fu lly in n e rva the d s h o u ld e r; w ris t In d e p e n d e n t o r w it h In d e p e n d e n t o r w it h In d e p e n d e n t in t r a n s fe r s extension or dorsi exion minimal help minimal help and wheelchair C7–C8 Fu ll e lb o w e xte n s io n; w ris t In d e p e n d e n t In d e p e n d e n t In d e p e n d e n t; m a n u a l plantar exion; some nger wheelchair control T1–T5 Fu ll h a n d a n d n g e r co n tro l; In d e p e n d e n t In d e p e n d e n t In d e p e n d e n t; m a n u a l use of intercostal and thoracic wheelchair muscular tissues T6–T10 Ab d o m in a l m u s cle co n tro l, p a rtia l In d e p e n d e n t In d e p e n d e n t In d e p e n d e n t; m a n u a l to g o o d b a la n ce w ith tru n k wheelchair muscles T11–L5 Hip e xo rs, h ip a b d u cto rs (L1–three); In d e p e n d e n t In d e p e n d e n t S h o rt d is t a n c e t o fu ll kn e e e xte n s io n (L2–4); kn e e ambulation with e xio n a n d a n kle d o rs i e xio n assistance (L4–5) S 1–S 5 Fu ll le g, fo o t, a n d a n kle co n tro l; In d e p e n d e n t N o r m a l t o im p a ir e d Am b u la the in d e p e n d e n tly in n e rva tio n o f p e rin e a l m u s cle s bowel and bladder with or with out fo r b o w e l, b la d d e r, a n d s e xu a l fu n ctio n help fu n ctio n (S 2–four) * As s is ta n ce re fe rs to a d a p tive e q u ip m e n t, s e tu p, o r p h ys ica l a s s is ta n ce <a href=http://sunshinenps.vic.edu.au/order-pills/etodolac/> climacteric arthritis definition buy discount etodolac 300 mg line</a>. 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