Abstract:Objectives: To evaluate clinically and radiologically the elbows of spinal cord injured patients and compare them to the control group. Methods: Twenty patients (10 paraplegics and 10 tetraplegics) were clinically evaluated through assessment of pain scale, measurement of active and passive range of motion, degree of muscle strength and MEPS score. They were also submitted to bilateral plain radiography of the elbows. Both groups were compared to the control group. Results: Four paraplegic and three tetraplegi… Show more
“…Patients with spinal injuries with clinical and physical alterations in this joint become totally dependent on third parties. ( 7 …”
Section: Resultsmentioning
confidence: 99%
“… Figure 2 a: Strength measurements of the flexor and extensor muscles of the right upper limb in quadriplegic patients with high and low lesion; b: Presence of changes in the articular surface of the left elbow; c: Joint destruction and presence of free bodies (see red arrow). ( 7 ), ( 9 …”
Section: Resultsmentioning
confidence: 99%
“…Quadriplegic patients have a significant loss of control and motor strength, besides presenting a lower range of motion than paraplegics. ( 7 A study shows that muscle function (dynamometry) of elbow extensors is better correlated with functional tests than elbow flexors. Thus, we can affirm that there is a predominance of independence of elbow extension.…”
Section: Resultsmentioning
confidence: 99%
“…Patients with spinal injuries with clinical and physical alterations in this joint become totally dependent on third parties. 7 The prevalence of pain and injury to the elbows is reported in 5% to 16% of the literature. Many factors are capable of triggering elbow pain, among them ulnar mononeuropathy by nerve compression resulting in cubital tunnel syndrome -prevalent in 22%-45% of spinal cord injuries -osteoarthritis, lateral epicondylitis and olecranon bursitis.…”
Objective: This study aims to review, identify and study the determinations of the main orthopedic aspects in SCI patients. Methods: A total of 80 articles from PUBMED and three theses (MSc. /DSc.) were examined. Results: The results refer to the most essential joints. There is a chronic overload on the shoulder girdle due to the use of the upper limb as a supporting joint. The elbow presents osteoarthritis, subclinical, acute and chronic pain, mainly in quadriplegic patients. In the hand and wrist joints there are cases of paralysis, osteoporosis and osteoarthritis. Hips are the main weight-bearing joints while sitting which leads to a substantial degenerative process of this joint. Lastly, on the knee, feet and ankles, spasticity, contractures, osteoporosis and deformities can arise. Conclusion: Along with the increase in cases and research that analyze the alterations that spinal cord-injured individuals suffer, it is necessary to recognize the orthopedic changes to understand their limits and identify the relevance of the rehabilitation program to improve the muscle performance. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.
“…Patients with spinal injuries with clinical and physical alterations in this joint become totally dependent on third parties. ( 7 …”
Section: Resultsmentioning
confidence: 99%
“… Figure 2 a: Strength measurements of the flexor and extensor muscles of the right upper limb in quadriplegic patients with high and low lesion; b: Presence of changes in the articular surface of the left elbow; c: Joint destruction and presence of free bodies (see red arrow). ( 7 ), ( 9 …”
Section: Resultsmentioning
confidence: 99%
“…Quadriplegic patients have a significant loss of control and motor strength, besides presenting a lower range of motion than paraplegics. ( 7 A study shows that muscle function (dynamometry) of elbow extensors is better correlated with functional tests than elbow flexors. Thus, we can affirm that there is a predominance of independence of elbow extension.…”
Section: Resultsmentioning
confidence: 99%
“…Patients with spinal injuries with clinical and physical alterations in this joint become totally dependent on third parties. 7 The prevalence of pain and injury to the elbows is reported in 5% to 16% of the literature. Many factors are capable of triggering elbow pain, among them ulnar mononeuropathy by nerve compression resulting in cubital tunnel syndrome -prevalent in 22%-45% of spinal cord injuries -osteoarthritis, lateral epicondylitis and olecranon bursitis.…”
Objective: This study aims to review, identify and study the determinations of the main orthopedic aspects in SCI patients. Methods: A total of 80 articles from PUBMED and three theses (MSc. /DSc.) were examined. Results: The results refer to the most essential joints. There is a chronic overload on the shoulder girdle due to the use of the upper limb as a supporting joint. The elbow presents osteoarthritis, subclinical, acute and chronic pain, mainly in quadriplegic patients. In the hand and wrist joints there are cases of paralysis, osteoporosis and osteoarthritis. Hips are the main weight-bearing joints while sitting which leads to a substantial degenerative process of this joint. Lastly, on the knee, feet and ankles, spasticity, contractures, osteoporosis and deformities can arise. Conclusion: Along with the increase in cases and research that analyze the alterations that spinal cord-injured individuals suffer, it is necessary to recognize the orthopedic changes to understand their limits and identify the relevance of the rehabilitation program to improve the muscle performance. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.
Introduction: The inability of the spinal cord to propagate sensory and motor stimuli as a result of the disruption of the nerve tracts is called spinal cord injury. Objective: This study analyzes clinically and radiologically the hands and wrists of spinal cord injured patients, evaluating their motor and sensitive functionality, in order to determine if these patients are more likely to develop degenerative alterations. Methods: 14 patients (8 paraplegics and 6 tetraplegics) were evaluated, undergoing anamnesis and clinical examination - a scale of muscular strength (MRC - Medical Research Council) and the amplitude measurement of the movement with a manual goniometer (ROM), were used for objective evaluation - and x-ray exams. The results were compared with pre-existing data from other studies. Results: When asked, only one of the 14 observed patients complained about constant wrist pain, described as level 3 (weak to moderate), based on the visual analog scale (VAS). The motor evaluation, MRC and ROM divided the group of patients into two subgroups: paraplegic and tetraplegic patients. The x-ray analysis showed, based on Kellgren and Lawrence classification, that all exam images fit grades 1 or 2 of osteoarthritis and osteoarthrosis. Conclusion: In conclusion, spinal cord injured patients showed none or minimal clinical and radiological signs of osteoarthritis on hands or wrists. Overall, the hands and wrists of spinal cord-injured patients behave similarly to noninjured patients. Level of Evidence III; Retrospective Comparative Study.
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