Abstract
A new device for elbow extension, developed as a dynamic orthosis and also as a static splint for a C5 tetraplegic arm, is presented. A patient with tetraplegia, probably related to infection of the central and peripheral nervous system, had a paralysed right triceps muscle, with a very strong corresponding biceps. Extension by force of a posterior stretched rubber ring made the arm useful, while the possibility to lock the elbow hinges of the orthosis at any desired angle enabled static splinting of the elbow to increase the range of motion.
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References
Guttmann L (1976) Symptomatology. In: Spinal Cord Injuries: Comprehensive Management and Research. Blackwell Scientific Publications, Oxford: 260–279.
Bender L F (1990) Upper extremity orthotics. In: Kottke FJ, Lehmann JF, editors. Krusens' Handbook of Physical Medicine and Rehabilitation. W B Saunders Company, Philadelphia: 580–592.
Ragnarsson K T (1988) Orthotics and shoes. In: DeLisa JA, editor. Rehabilitation Medicine: Principles and Practice. J B Lippincott, Philadelphia: 307–329.
Trombly C A (1989) Orthoses: Purposes and types. In: Trombly CA, editor. Occupational Therapy for Physical Dysfunction. Williams and Wilkins, Baltimore: 329–355.
Green D P, McCoy H (1979) Turnbuckle orthotic correction of elbow flexion contractures after acute injuries. J Bone Joint Surg 617: 1092–1095.
Hepburn G R, Crivelli K J (1984) Use of elbow Dynasplint for reduction of elbow flexion contracture: a case study. J Orthop Sports Physical Ther 5: 269–274.
Abrahams D, Shrosbree R D, Key A G (1979-80) A functional splint for the C5 tetraplegic arm. Paraplegia 17: 198–203.
Duncan R M (1989) Basic principles of splinting the hand. Phys Ther 69: 1104–1116.
Mackay-Lyons M (1989) Low-load prolonged stretch in treatment of elbow-flexion contractures secondary to head-trauma: a case report. Phys Ther 69: 292–296.
Kottke F J, Pauley D L, Ptak R A (1966) The rationale for prolonged stretching for correction of shortening of connective tissue. Arch Phys Med Rehabil 47: 345–352.
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Itzkovich, M., Catz, A. & Ona, I. A new double-purpose device for elbow extension in tetraplegia with paralysis below C5. Spinal Cord 31, 116–118 (1993). https://doi.org/10.1038/sc.1993.20
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DOI: https://doi.org/10.1038/sc.1993.20