Triceps denervation as a predictor of elbow flexion contractures in C5 and C6 tetraplegia
| Autor: | Benjamin B. Lind, David Yu, Anne M. Bryden, Kevin L. Kilgore |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Contracture Time Factors Adolescent Elbow Physical Therapy Sports Therapy and Rehabilitation Quadriplegia Severity of Illness Index Predictive Value of Tests Risk Factors medicine Deformity Prevalence Humans Range of Motion Articular Tetraplegia Spinal cord injury Spinal Cord Injuries Retrospective Studies Analysis of Variance Muscle Weakness business.industry Rehabilitation Australia Muscle weakness Middle Aged musculoskeletal system medicine.disease Electric Stimulation United States body regions medicine.anatomical_structure England Elbow flexion contracture Physical therapy Arm Cervical Vertebrae Female medicine.symptom Range of motion business |
| Zdroj: | Archives of physical medicine and rehabilitation. 85(11) |
| ISSN: | 0003-9993 |
| Popis: | Bryden AM, Kilgore KL, Lind BB, Yu DT. Triceps denervation as a predictor of elbow flexion contractures in C5 and C6 tetraplegia. Arch Phys Med Rehabil 2004; 85:1880-5. Objective To determine whether the existence of elbow flexion contractures in persons with C5 or C6 tetraplegia is related to a lack of residual voluntary triceps function and triceps denervation (ie, lower motoneuron damage). Design A retrospective study of impairment data from 74 arms to identify the incidence of elbow flexion contractures and the contributing factors toward this deformity. Setting Five spinal cord injury (SCI) rehabilitation centers in the United States, 1 in England, and 1 in Australia. Participants Forty-three subjects with motor complete C5 or C6 traumatic SCI. Interventions Not applicable. Main outcome measures Active and passive elbow extension, triceps voluntary muscle strength, and triceps response to electric stimulation. Results Subjects with weak voluntary triceps had significantly fewer and less severe elbow flexion contractures than those with paralyzed triceps ( P =.024). Subjects with completely denervated triceps (ie, no response to electric stimulation) had significantly more elbow flexion contractures than subjects with even a weak response to electric stimulation ( P =.003). Overall, 51% of the arms could not be passively extended to zero. Forty-six percent of the arms classified as C5 lacked full passive elbow extension, compared with 63% of the arms classified as C6 ( P =.302). Conclusions A relationship has been found between elbow flexion contractures and lack of residual voluntary triceps and triceps denervation in subjects with C5 or C6 tetraplegia. There should be a greater awareness of the elbow flexion contractures that may develop as a result of this relationship. A better understanding of this deformity and its characteristics can lead to more effective clinical treatment and prevention strategies. |
| Databáze: | OpenAIRE |
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