Spinal Cord Injury - What Teachers Need to Know

Written by:  • Edited by: Elizabeth Wistrom
Published Apr 5, 2009
• Related Guides: Central Nervous System

A spinal cord injury can affect the ability of a student to participate fully in the daily activities of a school. Teachers play an important role in supporting students with spinal cord injury and helping them achieve their full potential in a safe, supportive and encouraging environment.

What is a Spinal Cord Injury?

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A spinal cord injury is a physical disability. A spinal cord injury occurs when there is damage to the spinal cord which runs through the inside of the vertebral column. The purpose of the spinal cord is to relay nervous signals from the brain through the central nervous system and from there throughout the body. In other words, the brain initiates an action, the nerves carry the signal from the brain along the spinal cord and the central nervous system, and the muscles, joints, ligaments and tendons carry out the actions. When there is damage to the spinal cord, this pathway is interrupted. The signals are not able to be carried correctly from the brain to the rest of the body.

This can happen at various points along the spinal cord. The effect of this physical disability upon the body varies according to the level of the spinal cord which is affected by the injury. A spinal cord injury which occurs at a lower level of the spinal cord has a less significant effect than one which occurs higher up. This is because the parts of the body which are controlled by the nerves from the spinal cord extend out from roughly the same level as where they correspond to on the spine. For example, the muscles which control the chest, upper arms and neck are located high on the spinal column. An injury which affects these parts of the body has occurred at an upper part of the spinal column. It causes a higher degree of physical disability than a spinal cord injury which occurs lower on the spine.

Quadriplegia and Paraplegia - What's the Difference?

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Quadriplegia is where there is involvement of the upper and lower limbs (arms and legs). This is usually when the spinal cord injury has occurred at quite a high level in the spinal cord. A person with quadriplegia would need assistance with mobility, and would often use an electric wheelchair. They would probably need some support (physical or through adaptive equipment such as a hoist or other transferring equipment) to use the toilet, and to shower and perform personal care tasks.They would generally have little or no sensation in their upper limbs, chest, hips, torso or lower limbs. Depending on the level of their injury they may have some sensation and movement of shoulders, some arm muscles and head and neck. Quadriplegia is a significant and severe type of physical disability.

Paraplegia is where there is involvement of the lower limbs. The spinal cord injury has occurred at a lower point in the spinal cord. The arms and torso may have complete or near complete control and sensation. A person with paraplegia may use a wheelchair for mobility and may need some assistance with toileting and personal care tasks.

A Student With A Spinal Cord Injury at School

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In a school setting, teachers need to understand the needs and abilities of individual students with spinal cord injuries. Do not assume that all spinal cord injuries will be the same, or that students will have the same sensation and movement control. Learn about individual students through their Individual Learning Plan if they have one, or simply by talking with them and their families or carers. Ask what support and assistance they need, and be sensitive to issues such as bladder and bowel incontinence, issues around sexuality and arousal and the need for assistance with intimate tasks such as toileting, nose blowing, itching, putting on sunscreen, wiping away tears, moving the hair out of your eyes and other bodily functions that most of us take completely for granted. For example, I recall a young man with quadriplegia with whom I worked once saying he absolutely detested having to ask someone else to help him itch his own nose, but there was nothing more frustrating than not being able to itch it for yourself!


 
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