For a patient with C5 AIS A who has deltoids and biceps but no wrist extension, finger flexors, or triceps, which combination is most appropriate for feeding independence with setup assistance?

For a patient with C5 AIS A who has deltoids and biceps but no wrist extension, finger flexors, or triceps, which combination is most appropriate for feeding independence with setup assistance?

• A. Universal cuff with built-up utensils, plate guard, and setup assistance
• B. Standard utensils with no modifications
• C. Rocker knife
• D. Automatic feeder only

Answer: (A)

When a person has shoulder and elbow control (deltoids and biceps) but lacks wrist extension, finger flexors, and triceps, the goal is to enable self-feeding by compensating for the limited grip and wrist control while using the available proximal strength. A universal cuff lets them hold a utensil without needing fine finger grasp, and built-up utensils give a larger, easier-to-grasp handle. A plate guard helps keep food on the plate and reduces spills during scooping. Having setup assistance means someone can position the plate and utensils in an accessible way at the start, allowing the patient to complete feeding movements with their elbow and shoulder. This combination directly supports independent feeding with minimal ongoing support by adapting the tool to the user’s current abilities. Other options rely more on grip, wrist movement, or automation that doesn’t promote ongoing independence with setup help.

When a person has shoulder and elbow control (deltoids and biceps) but lacks wrist extension, finger flexors, and triceps, the goal is to enable self-feeding by compensating for the limited grip and wrist control while using the available proximal strength. A universal cuff lets them hold a utensil without needing fine finger grasp, and built-up utensils give a larger, easier-to-grasp handle. A plate guard helps keep food on the plate and reduces spills during scooping. Having setup assistance means someone can position the plate and utensils in an accessible way at the start, allowing the patient to complete feeding movements with their elbow and shoulder. This combination directly supports independent feeding with minimal ongoing support by adapting the tool to the user’s current abilities. Other options rely more on grip, wrist movement, or automation that doesn’t promote ongoing independence with setup help.