Dor no ombro em pacientes com lesão medular

Gianini, Priscila E. S.; Chamlian, Therezinha Rosane; Arakaki, Juliano Coelho

doi:10.1590/s1413-78522006000100010

Cited by 10 publications

(3 citation statements)

References 23 publications

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“…Shoulder pain is known to be prevalent in patients with SCI, and Rotator cuff problems were frequently identified [31][32][33]. Previous studies showed that shoulder pain is primarily caused by an excessive overload on the upper limbs, such as wheelchair propulsion and transfers [32,34]. This overuse of the shoulder muscles could lead to degenerative conditions of the shoulders [33].…”

Section: Discussionmentioning

confidence: 99%

Reduced Muscle Activity of the Upper Extremity in Individuals with Spinal Cord Injuries

Lee

Zaman

Hwang

2022

IJERPH

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Compromised physical ability due to musculoskeletal impairment among spinal cord injury (SCI) patients is known to negatively affect their quality of life. It is essential to comprehensively understand the muscle strength of the upper extremity among patients with SCI to enhance muscle function and capacity to engage in an active lifestyle. The objective of this study was to evaluate the muscle strength of 15 upper extremity muscles among patients with SCI and compare the relative weakness of individual muscles to the control group. Seven male patients with SCI with ASIA impairment scale D and E and 33 males in the control group participated in this study. Each participant performed maximal voluntary contraction of individual muscles, and the electromyography data were recorded. The results showed that the majority of the upper extremity muscles (12 out of 15) showed considerable weakness (24 to 53%) relative to the control group. Furthermore, the relative strength (ranking) of individual muscles among 15 upper extremity muscles was different between patients with SCI and the control group. This information would be useful to the selective strengthening of specific muscles as an intensive rehabilitation effort and prevent overuse and adverse injuries due to excessive muscle training.

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Section: Discussionmentioning

confidence: 99%

Reduced Muscle Activity of the Upper Extremity in Individuals with Spinal Cord Injuries

Lee

Zaman

Hwang

2022

IJERPH

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“…14 Moreover, due to the need of the sitting position, many daily activities need to be performed with the arm above the head, resulting in muscle imbalance and overload. 15 This overload affects one joint not designed to withstand such loads and possibly presents a muscle imbalance depending on the level of injury, resulting in pain and further, some degree of joint destruction.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiographic Evaluation of Elbows From Spinal Cord Injuried Patients

et al. 2016

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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 tetraplegic patients referred mild to moderate, sporadic and motion related pain. The control group was asymptomatic. No statistic significant difference was found in passive range of motion among the three groups. The tetraplegic group showed a lower active range of motion as well as lower MEPS score as compared to the control group. Equal number of patients in the spinal cord injured patients had radiological abnormalities, but those were more severe in the tetraplegic group. Conclusion: Spinal cord injured patients presented clinical and radiological elbow abnormalities, which were more evident on tetraplegics. Level of Evidence III, Case Control.

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“…Not only is acromioclavicular stabilization solicited by the mechanical overload during transfer, but this action can also intermittently reduce the subacromial space, determining compression of the rotator cuff structures, especially of the suprascapularis muscle 28 . The recurrent compression can lead to hypovascularization besides mechanical stress on the muscle fiber due to micro strains.…”

Section: Discussionmentioning

confidence: 99%

Avaliação clínica e por ressonância magnética do ombro de pacientes lesados medulares

et al. 2012

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ObjectiveTo study the shoulder of this group of patients using magnetic resonance imaging to detect clinical and subclinical disorders and establish a rehabilitation program.MethodsNine patients with spinal cord injury followed in the Laboratory of Biomechanics and Rehabilitation of the Locomotive System at HC/UNICAMP were divided into two groups according to the presence of paraplegia and tetraplegia and were clinically assessed for correlation with the imaging exams.ResultsNormal results were found in 41% of the shoulders. Most common injuries were tendinopathy of the supraspinatus and acromioclavicular joint degeneration. Eighty percent of injured shoulders had combined lesions.ConclusionA great variety of causes of shoulder pain was identified in paraplegic and tetraplegic subjects. Routine clinical assessment and imaging studies of the shoulder may contribute to the evolution of rehabilitation and reduction of pain and musculoskeletal disorders. Level of Evidence II, Development of Diagnostic Criteria on Consecutive Patients, With Universally Applied Reference "Gold" Standard.

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Dor no ombro em pacientes com lesão medular

Cited by 10 publications

References 23 publications

Reduced Muscle Activity of the Upper Extremity in Individuals with Spinal Cord Injuries

Reduced Muscle Activity of the Upper Extremity in Individuals with Spinal Cord Injuries

Clinical and Radiographic Evaluation of Elbows From Spinal Cord Injuried Patients

Avaliação clínica e por ressonância magnética do ombro de pacientes lesados medulares

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