The overall effect of rehabilitation is related to the level of spinal cord injury, the higher the level the greater the difficulty, and the degree of injury. Generally speaking, if we take a complete injury as an example, and the worst one as an example, if the injury is above the level of cervical 4, he may need diaphragmatic pacing to maintain respiration, but he can use voice control to manipulate certain activities, and his ability to live may be dependent, because he is paralyzed in all four limbs, even breathing requires diaphragmatic pacing, and he cannot effectively perform activities by himself, for example This is the case of “Superman”, a very high level injury, above cervical 4, and very few patients survive above cervical 4. If it is a cervical 4 level, you may have to use a power wheelchair with a high back, sometimes you need to assist breathing, in most cases there is no problem with breathing. Neck 5 can drive a high-backed wheelchair on a flat surface by hand, because the chest control is not yet good, so a high-backed wheelchair should be used. Neck 6 can drive a wheelchair by hand and wear a top independently, and the level of neck 6 can drive a modified car if we have a modified car. Further down to the level of neck 7 and 8, it can be more practical, because the function of his hands will be better, so he can complete the transfer, we see those boys with neck 7 and 8, he has a very good transfer, and can take care of most of his life. To the chest is even better, with a long-legged orthotic walking on crutches becomes a reality, you can walk, but not for long distances, to the chest 6 to chest 12 it is possible to relatively long distance walking on crutches, but the real long distance or to use a wheelchair, it will be less effort, to the chest below any waist plane may use a short-legged orthotic, with a hand crutch or cane can walk, if it is waist 4, then the wheelchair is not needed. Some patients are so well trained that they can walk without crutches in the case of orthotics. Relationship between spinal cord injury plane and functional prognosis Plane Mobility Life skills Cervical 1-4 Dependent on diaphragmatic pacing to maintain respiration, with voice-activated manipulation of certain activities Fully dependent Cervical 4 Uses a powered high-backed wheelchair, sometimes requiring assisted breathing. Highly dependent Cervical spine5 Hand-powered high-backed wheelchair on level surfaces, requires upper extremity aids Mostly dependent Cervical spine6 Hand-powered wheelchair, wears tops independently, can drive specially adapted cars Moderately dependent Cervical spine7-8 Wheelchair functional, independent bed-wheelchair/toilet/bathroom transfer Mostly self-care Thoracic 1-6 Wheelchair independent, walks short distances with long-legged orthotics holding crutches Mostly self-care Thoracic spine 12 Walking with long-legged orthosis holding crutches, wheelchair required for long-distance mobility Basic self-care Lumbar spine 4 Walking with short-legged orthosis holding cane, wheelchair not required Basic self-care