Upper Limb Management in Lower Tetraplegia and Central Cord Syndrome

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Introduction[edit | edit source]

Upper limb function is a key element in regaining autonomy for patients with a cervical spinal cord injury. A conservative treatment may transition into a surgical pathway, and treatment strategy is based on the type of damage present (upper vs lower motor neuron). It includes positioning, splinting, passive and active range of motion, functional training, and training with adaptive equipment with aim to offer the best possible benefit to the individual patient.[1]Prevention must be considered when treatment strategies are selected. Claw hands, contractures, or inadequate closing or opening of the fingers may occur as a result of lower level cervical spinal cord injury.[1]

C6 Tetraplegia[edit | edit source]

  1. Innervated upper limb muscles
    1. Deltoid, biceps, brachialis, brachioradialis (C5 level)
    2. Pectoralis (clavicular head only)
  2. No elbow extension
  3. No active movements of fingers or thumbs

C7 Tetraplegia[edit | edit source]

C8 Tetraplegia[edit | edit source]

Central Cord Syndrome[edit | edit source]

Resources[edit | edit source]

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References[edit | edit source]

  1. ↑ 1.0 1.1 Bersch I, Krebs J, Fridén J. A Prediction Model for Various Treatment Pathways of Upper Extremity in Tetraplegia. Front Rehabil Sci. 2022 Jun 30;3:889577.
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