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. 2013 Winter;19(1):42-6.
doi: 10.1310/sci1901-42.

Comparative study on the wrist positions during raise maneuver and their effect on hand function in individuals with paraplegia

T G Tilak Francis  1 , Priya Reddappa
Affiliations

Comparative study on the wrist positions during raise maneuver and their effect on hand function in individuals with paraplegia

T G Tilak Francis et al. Top Spinal Cord Inj Rehabil. 2013 Winter.

Abstract

Objective: To determine the appropriate wrist position in individuals with high-level paraplegia during the RAISE (relief of anatomical ischial skin embarrassment) maneuver.

Method: Thirty individuals with high-level paraplegia were randomly selected; 15 individuals performed RAISE maneuver with extended wrist and 15 with neutral wrist. All the subjects who were at least 1 year post spinal cord injury were screened for positive carpal tunnel syndrome symptoms. All the subjects were allowed to participate in a trial of the Jebsen-Taylor Test of Hand Function to familiarize them with the test. Hand function was measured using the Jebsen-Taylor test.

Results: During the RAISE maneuver, individuals with paraplegia weight bearing on their hands with wrists in the neutral position showed better hand function (P < .001) when compared to those weight bearing with their wrists in extension.

Conclusion: Weight bearing with the wrist in neutral position is advisable for paraplegics to prevent the deterioration in hand function due to carpal tunnel syndrome.

Keywords: Jebsen-Taylor test; carpal tunnel syndrome; hand function; paraplegia.

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Figures

Figure 1.
Figure 1.
RAISE maneuver with (A) neutral wrist and (B) extended wrist.
See this image and copyright information in PMC

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