CORRELATION BETWEEN TRUNK LENGTH AND SITTING BALANCE IN COMPLETE PARAPLEGICS
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Keywords
Paraplegia, Sitting balance, Trunk muscle strength
Abstract
A lesion that compromises the anatomical integrity of the spinal cord can result in spinal cord injury (SCI), a disorder with persistently debilitating clinical manifestations brought on by partial or complete impairment of spinal cord functions. SCI sequelae are regarded as a public health issue in Brazil and across the globe due to their severe functional and socioeconomic effects. Both men and women made up all of the subjects. The connection between Trunk Length and Functional Reach values (both forward and lateral) in sitting as a measure of dynamic sitting balance in full paraplegics involved a total of 30 patients. Based on the severity of the lesion, the sample was split into three groups. This section's main emphasis is on the steps for conducting sitting functional reach tests and measuring trunk length. The data collection process was strictly adhered to. Prior to starting the reaching exercise, a preliminary measurement was made, which comprised measuring one of the bodily parameters. As determined by modified forward reach values (both forward and lateral) while sitting, our findings ultimately revealed a negative connection between trunk length and sitting balance. The established negative connection showed that the dynamic balance when sitting was worse and longer trunk length was better. Both the forward and lateral reach values in the sample had a strong association.
References
2. Lee BB, Cripps RA, Fitzharris M, Wing PC. The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate. Spinal Cord. 2014; 52(2): 110-6.
3. Stokes M, Stack E. Physical management for neurological conditions. Amsterdam: Churchill Livingstone; 2013.
4. Flesch JR, et al: Harrington instrumentation and spine fusion for unstable fracture and fracture dislocation of the thoracic and lumbar spine. J Bone and Joint Surgery 1977; 59-A: 143–153.
5. Luque ER et al. Segmental spinal instrumentation in the treatment of fracture of the thoracolumbar spine. Spine 7: 312–317, 1982.
6. Bendix T et al. Posture of the trunk when sitting on forward inclining seats. Scand Jf Rehab Med 1983; 15: 197–203.
7. Yarkony GM, Roth EJ, Heinemann AW, Lovell L, Wu YC. Functional skills after spinal cord injury rehabilitation: three-year longitudinal follow-up. Arch Phys Med Rehabil 1988; 69: 111-4.
8. Yarkony GM, Roth EJ, Meyer PR, Lovell LL, Heinemann AW. Rehabilitation outcomes in patients with complete thoracic spinal cord injury. Am J Phys Med Rehabil 1990; 69: 23-7.
9. Waters RL, Yakura JS, Adkins RH, Sie I. Recovery following complete paraplegia. Arch Phys Med Rehabil 1992; 73: 784-9.
10. Daverat P, Petit H, Kemoun G, Dartigues JF, Barat M. The long term outcome in 149 patients with spinal cord injury. Paraplegia 1995; 33: 665-8.
11. Felici. Rehabilitation of walking for paraplegic patients by means of a treadmill. Spinal Cord 1997; 35: 383-385.
12. Protas EJ, Holmes SA. Supported treadmill ambulation training after spinal cord injury: a pilot study. Archives of Physical Medicine Rehabilitation 2001; 82: 825-31
13. Hornby TG, Zemon DH. Robotic-assisted, body-weight-supported treadmill training in individuals following motor incomplete spinal cord injury. Physical Therapy 2005; 85 :52-66.
14. Johnson TE. Implantable FES system for upright mobility and bladder and bowel function for individuals with spinal cord injury. Spinal cord 2005; 43:713-723
15. Carr JH, Shepherd RB. A motor relearning Programme for Stroke, Second edition, Oxford, 1992.
16. Carr JH, Shephard RB. Stroke Rehabilitation: Guidelines for Exercise and training to optimize motor skill, first edition, Butterworth Heinmann, 2003.
17. Rew M, Everett. Human movement, 3rd edition, Churchill living stone, New York USA, 1997.
18. Seelen HAM, Potten YJM. Postural motor programming in paraplegic patients during rehabilitation. Ergonomics 1998; 41:302-316
19. Potten YJM Seelen HAM. Postural muscle responses in the spinal cord injured persons during forward reaching. Ergonomics 1999; 42:1200-1215.
20. Robinson MW. Functional reach: Does it really measure dynamic balance? Archives of Physical Medicine and Rehabilitation 1999; 80: 262-269.
21. Madorsky JG, Kiley DP. Wheelchair mountaineering. Archives of Physical Medicine and Rehabilitation 1984; 65: 490-2.
22. Haas BM, Bergstrom E. The inter rater reliability of the original and of the Modified Ashworth’s scale for the assessment of spasticity in patients with spinal cord injury. Spinal Cord. 1997; 35: 64.
23. Sullivan SO. Physical Rehabilitation, Assessments and Treatment. FA D avis company, Edition 4th, 2001.
24. Paolov. Tolerable exercise intensity in the early rehabilitation of paraplegic patient preliminary study. Spinal Cord 1996; 34: 684-690.
25. Brucker BS, Bulaeva NV. Biofeedback effect on electromyography responses in patients with spinal cord injury. Archives of Physical Medicine and Rehabilitation 1996; 77:133-7.
26. Yarkony GM. Rehabilitation outcomes in patients with complete thoracic spinal cord injury. American Journal Physical Medicine Rehabilitation 1990; 35: 266-274
27. Jackson AB, Dijkers M, De Vivo MJ. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Archives Physical Medicineand Rehabilitation 2004; 85: 1740-1748.
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Dr. Shivangi Sharma
Assistant Professor, Department of Physiotherapy, Faculty of Paramedical Sciences, Bareilly International University, Bareilly, Uttar Pradesh, India
Dr. Kriti Mishra
Department of Physiotherapy, Sanskriti University, Mathura, Uttar Pradesh, India
Dr. Sakshi Bhatnagar
Department of Physiotherapy, Faculty of Paramedical Sciences, Bareilly International University, Bareilly, Uttar Pradesh, India
Dr. Sumbul Khan
Department of Physiotherapy, Faculty of Paramedical Sciences, Bareilly International University, Bareilly, Uttar Pradesh, India
Dr. Urusia Parveen
Department of Physiotherapy, Faculty of Paramedical Sciences, Bareilly International University, Bareilly, Uttar Pradesh, India
Dr. Manika Bishnoi
Department of Physiotherapy, Vivek College of Education, Bijnor, Uttar Pradesh, India