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 |