Factors associated with thoracic spinal cord injury, lesion level and rotator cuff disorders.

摘要: Background: The study was concerned with the secondary functional compromise persons long-term paraplegia contend with, that has been shown to be associated wheelchair use. Of particular interest relationship between level of thoracic spinal cord injury (SCI) and factors predisposing rotator cuff disorders (RCD), one most common upper extremity musculoskeletal complications linked SCI. Disorders these peri-articular structures have previously impaired trunk postural control abnormal muscle strength ratios in both able-bodied groups paraplegic athletes. Despite their neurologically intact shoulder joint musculature, high-level low-level paraplegics different degrees pelvic stability available them during activities daily living (ADL). This fundamental anatomical difference had not related diagnosis RCD a non-athletic population. Methods: A descriptive cross sectional undertaken demonstrate differences prevalence clinically diagnosed (n=22) (n=20) group paraplegia. Any perceived were then variations two groups. Inferences made based on known exist among The 42 subjects completed Wheelchair User's Shoulder Pain Index (WUSPI) establish presence or absence pain Musculoskeletal Function Assessment (MFA) instrument determine ability degree difficulty within five categories ADL. Each participant underwent clinical examination using validated provocative tests isometric ratio testing. Results: There higher (P=0.009) which correlated decreased (P=0.009). Differences perform tasks greater group, although there Muscle imbalances adductors abductors group. Conclusions: The results this suggest contribute propensity suffer from RCD. These findings send clear message service-providers acknowledgement specific SCI is required. may implications for prescription wheelchairs, assistive devices instruction alternative ADL techniques