Ultrasonographic Median Nerve Changes After Repeated Wheelchair Transfers in Persons With Paraplegia: Relationship With Subject Characteristics and Transfer Skills

摘要: Abstract Background Wheelchair users with spinal cord injuries are susceptible to peripheral neuropathies from overuse, yet no studies have established a relationship between median neuropathy and wheelchair transfers. A more thorough understanding of how transfers technique contribute pathologic conditions may guide interventions that curtail its development. Objective To evaluate the effects repeated on ultrasound markers for carpal tunnel syndrome (CTS) in people relate changes subject characteristics transfer skills. Design Cross-sectional, measures. Setting Research laboratory national sporting events. Participants convenience sample 30 nonprogressive paraplegia were recruited via research registries at 2013 National Veterans Games 2014 Paralyzed America Buckeye Games. older than 18 years could complete independently within seconds without use their leg muscles. Methods Demographic questionnaires physical examinations CTS completed. Quantitative techniques used measure nerve after repeated-transfers protocol. The Transfer Assessment Instrument (TAI) was completed quantify ability. Main Outcome Measurements Median cross-sectional area level pisiform (PCSA) swelling ratio (SR), quality, skills TAI. Results PCSA increased ( P Conclusions An acute increase observed CSA Changes greater persons higher body weight who did not perform certain correctly (according TAI). It is possible these factors chronic injury possibly CTS.