C6 level lesion

pectoralis,latissimus dorsi,serratus anterior,wrist extensor

latissimus dorsi lifting,balancing serratus anterior wrist extensor :passive tendonesis grip

Passive finger flexor,thumb flexor

passive tendonesis grip

Trick movement by tendon action
เมื่อบอกผู้ป่วย tetraplegia C6 หรือ C7 ให้กำมือ แต่กล้ามเนื้อ finger flexor(C8) เป็นอัมพาต
ผู้ป่วยจะกระดกข้อมือขึ้นด้วยกล้ามเนื้อ wrist extensors ซึ่งเป็น Synergist กับกล้ามเนื้อ long finger flexors ทำให้เอ็นกล้ามเนื้อดังกล่าวถูกดึงรั้งนิ้วมือจึงงอเข้าหากัน

Low paraplegia(T12L1cord lesion)

 Early stage : aim

 -prevent deep vein thrombosis

 -maintain good circulation to LL

 -maintain range of joints of soft tissue Low paraplegia (T12 L1 cord lesion)

    Early stage : method

    - Passive movement of LL 2times/day

    - Long sitting need length of hamstring

    - Standing need hip+knee extension and ankle 90 degrees,toe in

      extension,use serial casting

    - Strengthening exercise of UL and Upper trunk muscles start at 6-8 weeks

      (check stability of spine and back pain)

     Stage when weight bearing permitted :aim

- Increase activities

- Readjustment of sitting balance

- Locomotion in wheelchair

- Standing/walking in parallel bar ,crutches

- Care of skin and joint

- Self-care :wash,dress,urinal

     Stage when weight bearing permitted : method

- Balance training :reaching in sitting and standing

- Transferring training: bed-wheelchair-lavatory-floor

- Resisted exercises: weight and pulleycircuits,sports

- Standing balance in parallel bar with brace

- Swing to or swing through gait training

Electrical stimulation Main menu

Advertising Zone    Close