A patient with C6 AIS A SCI is expected to achieve which level of independence with bed mobility?

A patient with C6 AIS A SCI is expected to achieve which level of independence with bed mobility?

• A. Total independence in a regular bed
• B. Dependent in all bed mobility tasks
• C. Independent rolling, scooting, and coming to sitting in a hospital bed; assistance for placing padding
• D. Requires moderate to maximum assistance in a hospital bed

Answer: (C)

At this level, the upper extremities are the key for moving in bed. Preserved wrist extension at C6 lets the person press and grip with the hands to propel, shift, and reposition themselves, even though function below C6 is lost. With that control, they can roll from side to side, scoot along the bed, and come to a sitting position in a hospital bed by using their arms and trunk-supported positioning. Padding placement, however, is more delicate and requires precise adjustments that are typically done with assistance to ensure correct alignment and avoid pressure injuries. So the expected level is independent rolling, scooting, and coming to sitting in a hospital bed, with assistance for placing padding.

At this level, the upper extremities are the key for moving in bed. Preserved wrist extension at C6 lets the person press and grip with the hands to propel, shift, and reposition themselves, even though function below C6 is lost. With that control, they can roll from side to side, scoot along the bed, and come to a sitting position in a hospital bed by using their arms and trunk-supported positioning.

Padding placement, however, is more delicate and requires precise adjustments that are typically done with assistance to ensure correct alignment and avoid pressure injuries. So the expected level is independent rolling, scooting, and coming to sitting in a hospital bed, with assistance for placing padding.