Definition | Paralysis of the lower limbs and lower trunk | Paralysis of both the upper and lower limbs |
Extent of Paralysis | Involves the legs, hips, and sometimes parts of the trunk | Involves the arms, legs, trunk, and pelvic organs |
Motor Function | Impaired or lost function in the lower body muscles | Impaired or lost function in both upper and lower body muscles |
Sensory Function | Sensation may be affected or lost below the level of injury | Sensation may be affected or lost below the level of injury |
Level of Injury | Typically caused by spinal cord injury at thoracic or lumbar regions | Typically caused by spinal cord injury at cervical (neck) region |
Upper Limb Function | Generally unaffected or minimally affected | Impaired or lost function in the upper limbs |
Lower Limb Function | Impaired or lost function in the lower limbs | Impaired or lost function in the lower limbs |
Trunk Function | Trunk control may be partially preserved | Trunk control may be limited or absent |
Bladder and Bowel Control | May retain some degree of control | May experience loss of bladder and bowel control |
Respiratory Function | Usually unaffected | May experience respiratory complications depending on the level of injury |
Assistive Devices | Can potentially use a wheelchair for mobility | May require a power wheelchair or assistive devices for mobility |
Rehabilitation Needs | Focuses on lower limb function, mobility, and independence | Focuses on upper limb function, trunk stability, mobility, and independence |
Emotional Impact | Individual’s emotional response may vary | May experience additional emotional challenges due to loss of upper limb function |
Prognosis | Depends on the underlying cause and level of injury | Depends on the underlying cause and level of injury |