In C4 Tetraplegia, which mobility device and control configuration is described?

In C4 Tetraplegia, which mobility device and control configuration is described?

• A. Manual Wheelchair With Handrim Projections
• B. Manual Wheelchair With Joystick Control
• C. Power Wheelchair With Sip and Puff Controls
• D. Manual Wheelchair With Friction Handrims

Answer: (C)

In high cervical tetraplegia like C4, hand and finger function is severely limited, so traditional manual propulsion and standard joystick controls aren’t feasible. The mobility solution that preserves independence is a powered wheelchair paired with a control method that doesn’t rely on grip strength. Sip-and-puff controls let the user operate the chair by breathing into a mouthpiece, using inhalation and exhalation to command movement and direction. This setup provides reliable propulsion and steering without needing fine motor control from the hands, which is why it’s the best match for this level of injury. Manual wheelchairs with handrim projections or friction rims require grasp and push ability, and a joystick requires precise hand control, so they’re not suitable for C4 tetraplegia.

In high cervical tetraplegia like C4, hand and finger function is severely limited, so traditional manual propulsion and standard joystick controls aren’t feasible. The mobility solution that preserves independence is a powered wheelchair paired with a control method that doesn’t rely on grip strength. Sip-and-puff controls let the user operate the chair by breathing into a mouthpiece, using inhalation and exhalation to command movement and direction. This setup provides reliable propulsion and steering without needing fine motor control from the hands, which is why it’s the best match for this level of injury. Manual wheelchairs with handrim projections or friction rims require grasp and push ability, and a joystick requires precise hand control, so they’re not suitable for C4 tetraplegia.