Sutntnary. Energy metabolism data were collected in a series of seven male paraplegic patients with complete spinal cord lesions (T9 to LI). Among these fo ur had just been rehabilitated and three had been using their bilateral long leg braces for more than 4 years. A group of five healthy volunteers was used as a control. All the subjects ambulated on a treadmill between parallel bars and in a second trial they ambulated on the floor using forearm crutches.Mean O2 consumption was 1"46 ml 02 /kg/m for the unaccustomed paraplegics who had never used long-leg braces before, 0·61 for paraplegics used to walking with braces, and 0'83 for the healthy subjects walking between parallel bars with a swing-through gait.The second trial (on the floor), showed a mean O2 consumption of 0'73 ml 02 /kg/m for the paraplegic brace-user with a high heart rate (l s6!min.). This mean O2 consumption was much lower than the values of the paraplegic non-user and slightly higher than the normal subjects.
Three series of cases of Carpal Tunnel Syndrome have been studied. One series was treated a different, respected surgical team, the second series by the author by decompression alone, and the third series by additional intraneural decompression using the microscope. The authors found very little difference in the results, apart from marginally better results in the presence of thenar muscle involvement.
Study design: Case report of a 71-year-old man having sustained a spinal cord injury (SCI) for 26 years. He started to su er from low back pain 21 years after his onset and this was diagnosed as ilio-lumbar syndrome (ILS). Objectives: To describe the problem of low back pain occurring after a change of wheelchair in a SCI, and to indicate the importance of the ilio-lumbar syndrome as a possible cause of low back complaint.
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