A patient with C7 AIS A SCI is expected to achieve which level of independence for floor-to-wheelchair transfers?

A patient with C7 AIS A SCI is expected to achieve which level of independence for floor-to-wheelchair transfers?

• A. Fully independent
• B. Requires assistance of one person
• C. Dependent; requires a mechanical lift
• D. Independent with setup only

Answer: (B)

Floor-to-wheelchair transfers rely on good trunk control and the ability to move the body from the floor into a seated position. A complete injury at C7 often leaves some arm function (elbow extension and perhaps some wrist action) but little to no trunk or lower-body control. Without reliable trunk stability and leg involvement, the transfer from floor to chair cannot be performed safely and independently. That’s why this level of injury typically requires assistance from one person to guard, position, and help execute the transfer, ensuring balance and proper mechanics throughout the movement. Fully independent transfers would require solid trunk control and balance, which aren’t present with AIS A at C7. An independent transfer with setup only isn’t typical here because at least one person is needed to manage the transfer safely from floor to wheelchair.

Floor-to-wheelchair transfers rely on good trunk control and the ability to move the body from the floor into a seated position. A complete injury at C7 often leaves some arm function (elbow extension and perhaps some wrist action) but little to no trunk or lower-body control. Without reliable trunk stability and leg involvement, the transfer from floor to chair cannot be performed safely and independently. That’s why this level of injury typically requires assistance from one person to guard, position, and help execute the transfer, ensuring balance and proper mechanics throughout the movement. Fully independent transfers would require solid trunk control and balance, which aren’t present with AIS A at C7. An independent transfer with setup only isn’t typical here because at least one person is needed to manage the transfer safely from floor to wheelchair.