| The effect of a flexion contracture of the elbow on the ability to transfer in patients who have quadriplegia at the sixth cervical level. | |
| | |
MedLine Citation:
|
PMID: 8816657 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We studied six patients (twelve upper extremities) who had quadriplegia at the sixth cervical level. Our purpose was to evaluate how the loss of terminal extension of the elbow adversely affected the ability of the patient to perform transfers with a sliding board and so-called depression raises (lifting of the body with use of the extended upper extremities to reduce the pressure on the ischial tuberosities). Function of the triceps muscle was considered to be absent in eight upper extremities and present in four. A flexion contracture of the elbow was simulated with use of a specially fabricated, hinged elbow brace. Terminal extension was progressively limited, in 5-degree increments, until the patient was no longer able to perform the transfer or the depression raise. The mean flexion contracture at which the patient could not perform the transfer or the depression raise was approximately 25 degrees when function of the triceps was absent and approximately 50 degrees when function of the triceps was intact. The results of this study emphasize the importance of maintaining the full range of motion of the elbow in a patient who has high-level quadriplegia. In a patient who has quadriplegia at the sixth cervical level who otherwise would be independent with regard to transfer skills and mobility in bed, a flexion contracture of the elbow of approximately 25 degrees or more can result in the loss of a functional level and render the patient as dependent as one who has quadriplegia at the fifth cervical level. |
| | |
Authors:
|
J Grover; H Gellman; R L Waters |
Related Documents
:
|
18826607 - Phobic postural vertigo treated with autogenic training: a case report. 2061137 - Patients' reactions to the birth of a male analyst's child. 11059397 - The wish to regress in patient and analyst. 9553637 - Self-mutilation, substance abuse, and the psychoanalytic approach: four cases. 16388807 - Inflammatory markers and in-hospital mortality in acute ischaemic stroke. 2602727 - The last period of life of the very old. a pilot study evaluating the psychological aut... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of bone and joint surgery. American volume Volume: 78 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1996 Sep |
Date Detail:
|
Created Date: 1996-10-24 Completed Date: 1996-10-24 Revised Date: 2010-10-25 |
Medline Journal Info:
|
Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1397-400 Citation Subset: AIM; IM |
Affiliation:
|
University of Southern California Department of Orthopaedics, Rancho Los Amigos Medical Center, Downey, California 90262, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Activities of Daily Living Adult Braces Cervical Vertebrae Contracture / physiopathology* Elbow Joint / physiopathology* Equipment Design Female Humans Male Movement Muscle Contraction Muscle, Skeletal / physiopathology Quadriplegia / classification, physiopathology*, rehabilitation Range of Motion, Articular* Spinal Cord Injuries / classification Weight-Bearing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Magnetic resonance imaging for evaluation of failed repairs of the rotator cuff. Relationship to ope...
Next Document: Normal range of motion of the joints of the upper extremity in male subjects, with special reference...