Understanding Disability - Physical Impairment

A physical impairment is the most visible of all disabled people and it is for this reason that people with a physical impairment often suffer from the most obvious discrimination.

A physical impairment can be defined as any condition which limits the physical function of limbs or fine or gross motor ability. Partial or total paralysis, stroke, cerebral palsy, muscular dystrophy, multiple sclerosis, arthritis, amputation are just some examples of physical impairments.

It is not necessary to discuss with a person the cause of their impairment but it useful to be aware of the barriers that people may experience. For example, people may have: tremor or shaking; weakness; pain; reduced control of limbs; inability to sit upright or short or missing limbs.

Physically impaired people may use mobility aids such as wheelchairs or crutches. They may have assistance from other people in daily life and may use a range of assistive devices to control the environment, to manipulate objects or carry out tasks.

Misconception: People with a physical impairment are brave and courageous.
Truth: Adjusting to a physical impairment requires adapting to a lifestyle, not bravery and courage. Going to university, having a family, participating in sporting events and working in a job are normal not heroic activities for people with physical impairments just as they are for non-disabled people.

Misconception: People with physical impairments have lower IQs or cannot be educated.
Truth: People with physical impairments have a full range of IQs and academic abilities. The degree of the physical impairment has no bearing on a person’s mental capacity.

Misconception: People who use wheelchairs can’t get around
Truth: It may well be a fact that some people using wheelchairs cannot walk but others can. Many people who use wheelchairs do so because they tire easily or because their strength is limited and using a wheelchair makes it possible for them to travel longer distances, or to be ‘out and about’ for longer periods of time.

Misconception: People with a physical impairment always need help.
Truth: Many people with physical impairments are independent and do not always require assistance. And while anyone may offer assistance, most people with physical impairments prefer to be responsible for themselves.
There are many obvious things that society can implement to increase access for people with a physical impairment such as ramps, accessible transport links etc but it is often the hidden barriers that get forgotten.

Let’s think about this logically a ramp is of little use if the doorway is too narrow or if once inside, the area is not accessible i.e. no turning space for wheelchair users etc. An access requirement for a person with a physical impairment may be as simple as providing a comfortable chair or a wrist support for computer use.

As with all disability issues, it is best to ask the individual what access requirement they have – they know better than anyone else what is best suited to their needs.

Understanding Disability

As highlighted in my earlier blog, it is concerning to note that 53% of society view disabled people in a negative way. From my own personal experiences and through my work, it is clear that many people have misconceptions about disabled people and particular conditions. These misconceptions are usually formed from ignorance, fear, the traditional medical model and, most importantly, the media (at times they have a lot to answer for).

I truly believe that highlighting the positives of disability and re-educating people can, and will, make a huge difference to the lives of disabled people.

Over the next few blogs, I will take a look at several areas of disability and highlight the myths and misconceptions generally held within society. My hope is that this will help readers to understand these areas more and take a new look at their own misjudgements.

Often, when thinking of disabled people, society thinks firstly of those with a physical disability i.e. a wheelchair user but many fail to realise the broad context of disabled people and the conditions that they live their lives with. It is imperative that we first understand what the definition of “disability” is. This word that we hear so much about and which society bases judgements on seems to mean different things to different people.

So how do we define a disabled person?

The Disability Discrimination Act (DDA) defines a disabled person as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities.

However, defining a person by a condition/impairment is based on the Medical Model of Disability. Although this is the traditional way of defining disability, it is not very helpful and does not answer what we need to know i.e. how do we assist the person. The definition that I use is based on the Social Model of Disability which states that it is a person who has the loss of opportunity due to the barriers put up by society. There is a slight difference between the two definitions in that the former focuses on the individual’s inability to do things as opposed to the later which focuses on the barriers that are put in the way.

Arguably there is a need to group various disabled people together and the general groups would be people with physical impairments (including wheelchair users), people with visual impairments, people with hearing impairments, people with Learning Difficulties and people with mental health issues. It is useful to know the general access requirements for people within a group i.e. offering large print, Braille or audio tape etc to people with visual impairments. However, I must stress that these are only basic guidance and in all cases you should establish the access requirements of the individuals within their group.

I hope over the coming blogs that you will gain a better insight in to the various areas of disability and those access requirements that society needs to adopt.