''Paraparetic (paraparesis) refers to partial loss of function of the lower limbs(-paresis) and paraplegia (-plegia) affects completely the lower limbs ( in my understanding)
Definition of paresis: a condition of muscular weakness caused by nerve damage or disease; partial paralysis. (Source)
A paraparetic will experience weakness in their legs due to reduced function to the muscles.
Paraparesis occurs when part (not all) of the Spinal Cord is damaged...this is known as an 'incomplete lesion'.With an incomplete lesion the individual will may still have feeling but little movement below the injury level or alternatively could have no feeling (or partial) and have more movement.
How each person is affected will vary from one person to another because it will depend on the degree of damage to the individual's nerve fibres within the cord that are damaged.
This forum thread on paraplegia explains more: Paraplegia
Some individuals with paraparesis will be able to walk but most will need varying degrees of assistance, this will be dependent on how much muscle power they are left with in their legs/hip area but then some will be limited and not be able to walk far.
Others will not have enough muscle power/strength so they may not be walkers at all but still have some movement in their legs but just to a lesser degree.
Either way...many 'incompletes' may still use a wheelchair for their mode of mobility either for all/most or some of their time. Walking obviously has many advantages for the body but there are also problems associated and experienced by individuals who walk with reduced sensation/muscle power.
Very informative thread, Lαrα. Many people get confused when I move my legs while using my chair. They ask, "If you can move your legs, why can't you walk?" Then comes the explanation of how many muscles it requires to walk.
Very informative thread, Lαrα. Many people get confused when I move my legs while using my chair. They ask, "If you can move your legs, why can't you walk?" Then comes the explanation of how many muscles it requires to walk.
Im pleased that you have found it useful Knight... im hoping to make more sense of it for everyone..it varies so much. As you say its not fully understood why someone can move their legs but not walk.
Im reviving this thread because it has some useful information and especially as paraparetic as a term isnt used often enough. It explains incomplete paraplegia which technically isnt a correct term.
I am classed as paraparetic and when i first heard it, was when it was brought up by a consultant on my negligence case. Until then i have never been referred to as 'paraparetic'.
I want to bring something else to this discussion; there are many reasons why a paraparetic individual may use a wheelchair full-time and only use a walker when he/she is with another person (has a spotter). I am this way.
I live alone and am 99% independent (lightbulbs are my nemeses), so I don't use my walker unless somebody is with me and/or I'm "working out." Due to my unique circumstances throughout the past 2+ years, my left leg is extremely weak and numb (strength score of 0-1/5), while I've maintained the same strength score of 3-3.5/5 in my right leg. So many people freak out when I stand up! Then, I have to explain everything to them-- this is why I'm glad to live in a smaller rural town where "everybody knows everybody."
I hope the use of the word "paraparetic" will become more common, and therefore, more widely and easily understood by unknowledgable able-bodied people.
Very informative thread, Lαrα. Many people get confused when I move my legs while using my chair. They ask, "If you can move your legs, why can't you walk?" Then comes the explanation of how many muscles it requires to walk.
Thankyou for saying Knight, i have the same problem, there just isnt a simple answer is there?
I've recovered from my injury for 10+ years, however I use an AFO ankle brace on my right leg. I get lots of stares in public just with how I walk, my walking is compromised as I use my hips to walk. I am a paraplegic as well, it's been quite a different experience growing up with all the stares, that includes a very broad audience of people.
Just to add to the good info here, I was told as an inpatient, long time ago, that the medical distinction between a complete and incomplete injury was whether or not there was specifically any sacral sparring manifested as anal sphincter response.
Just to add to the good info here, I was told as an inpatient, long time ago, that the medical distinction between a complete and incomplete injury was whether or not there was specifically any sacral sparring manifested as anal sphincter response.
I was told this as well and consider it an outdated definition. Useless, in fact. My lovely rehab doc proved to me I had no anal sphincter response so I worked hard to rehab that little muscle because I intuited it was possible for me. 12 years later it is still weak, but it works.
What we can use is a definition that describes sensation and muscle function.
Thats a great explanation Lara. I think we all use incomplete because it's easier to explain. I'm looking for information on aging with Paraparesis (incomplete) and Scoliosis, so hoping something will pop up here.