Oliveira RCD, Freitas LBD, Gomes RR, Cliquet Júnior A. ORTHOPEDIC RELATED COMORBIDITIES IN SPINAL CORD-INJURED INDIVIDUALS.
ACTA ORTOPEDICA BRASILEIRA 2020;
28:199-203. [PMID:
32788864 PMCID:
PMC7405849 DOI:
10.1590/1413-785220202804224403]
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Abstract
Objective:
This study aims to review, identify and study the determinations of the main
orthopedic aspects in SCI patients.
Methods:
A total of 80 articles from PUBMED and three theses (MSc. /DSc.) were
examined.
Results:
The results refer to the most essential joints. There is a chronic overload
on the shoulder girdle due to the use of the upper limb as a supporting
joint. The elbow presents osteoarthritis, subclinical, acute and chronic
pain, mainly in quadriplegic patients. In the hand and wrist joints there
are cases of paralysis, osteoporosis and osteoarthritis. Hips are the main
weight-bearing joints while sitting which leads to a substantial
degenerative process of this joint. Lastly, on the knee, feet and ankles,
spasticity, contractures, osteoporosis and deformities can arise.
Conclusion:
Along with the increase in cases and research that analyze the alterations
that spinal cord-injured individuals suffer, it is necessary to recognize
the orthopedic changes to understand their limits and identify the relevance
of the rehabilitation program to improve the muscle performance. Level
of Evidence II, Prognostic Studies - Investigating the Effect of a
Patient Characteristic on the Outcome of Disease.
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