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Practice Guideline
. 2005;28(5):434-70.
doi: 10.1080/10790268.2005.11753844.

Preservation of upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals

Paralyzed Veterans of America Consortium for Spinal Cord Medicine
Practice Guideline

Preservation of upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals

Paralyzed Veterans of America Consortium for Spinal Cord Medicine. J Spinal Cord Med. 2005.
No abstract available

PubMed Disclaimer

Figures

FIGURE 1
FIGURE 1. MAXIMUM SHOULDER EXTENSION.
FIGURE 2
FIGURE 2. ILLUSTRATIONS A-C SHOW DIFFERENCES IN THE ELBOW FLEXION ANGLE (Q) FROM ADJUSTING THE HEIGHT OF THE AXLE. ILLUSTRATION B DEPICTS THE RECOMMENDED ELBOW ANGLE (Q2 =100 TO 120 DEGREES). ANGLE Q1 IS SMALLER BECAUSE THE SEAT IS TOO LOW (AXLE TOO HIGH). ANGLE Q3 IS LARGER BECAUSE THE SEAT IS TOO HIGH (AXLE TOO LOW).
FIGURE 3
FIGURE 3. THE RECOMMENDED PROPULSION PATTERN IS SHOWN IN “A.” AN EXAMPLE OF A POOR PROPULSION PATTERN IS SHOWN IN “B” (ARC PATTERN). THE THICK BLACK LINE ON THE WHEEL IS THE PATH FOLLOWED BY THE HAND.
FIGURE 4
FIGURE 4. “A” DEMONSTRATES HOW PROVIDING POSTERIOR PELVIC SUPPORT CAN PREVENT A KYPHOTIC POSITION OF THE TRUNK AND ANTERIOR INSTABILITY. “B” DEMONSTRATES HOW A FIXED KYPHOTIC POSTURE CAN BE ACCOMMODATED THROUGH SEAT TILT AND A CONTOURED BACKREST. THIS ACCOMMODATION PROVIDES A FUNCTIONAL POSITION.
FIGURE 5
FIGURE 5. EXAMPLES OF APPROPRIATE BED POSITIONING TO SUPPORT THE UPPER LIMB. (COURTESY OF RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER, DOWNEY, CALIFORNIA)
See this image and copyright information in PMC

References

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Publication types