Condition of the spine in patients with consequences of cervical spinal cord injury


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Objective. Assessment of the state of posture of patients after spinal cord injury (SCI) and the use of the mechano-optical topography. Methods. The study involved 40 patients with SCI at the cervical level (C5-C8 tetraplegia). The control group included 20 relatively healthy subjects matched by sex and age. The habitual posture and position of the pelvis in the «sitting» position were assessed. Results. In the control group, cervical lordosis was 6.0 (6.0; 9.0) mm, thoracic kyphosis - 34.0 (20.0; 36.0), lumbar lordosis - 10.0 (4.0; 12.0) mm, pelvic incidence - 70 (19.0; 105.0) degree. In the main group, 16 (40%) patients had a normal posture, 24 (60%) patients had a rounded posture and a posterior pelvic tilt, while the cervical lordosis was 10.0 (6.0; 12.0) mm, thoracic kyphosis - 40.0 (32.0; 52.0), lumbar lordosis - 5.0 (3.0; 6.0) mm, pelvic incidence - 100.0 (30.0; 120.0) degree. The age of SCI in patients with anterior pelvic tilt was 3.0 (1.2; 4.5), with posterior ones - 0.5 (0.3; 1.0) years. Conclusion. The proportion of patients with a rounded posture increases with the age of spinal cord injury; the use of mechano-optical topography requires the creation of conditions to maintain static balance.

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Sobre autores

Fedor Bushkov

Rehabilitation center “Overcoming"

Email: bushkovfedor@mail.ru
Cand. Sci. (Med.), Physical Medicine and Rehabilitation Physician Moscow, Russia

R. Fu

Rehabilitation center “Overcoming"

Moscow, Russia

A. Romanovskaya

Rehabilitation center “Overcoming"

Moscow, Russia

Bibliografia

  1. Schonherr M.C., Groothoff J.W., Mulder G.A., Eisma WH. Functional outcome of patients with spinal cord injury: rehabilitation outcome study. Clin Rehabil. 1999;13:457-63. doi: 10.1191/026921599666105472.
  2. Ditunno J. Predicting recovery after spinal cord injury: a rehabilitation imperative. Arch Phys Med Rehab. 1999;80(4):361-64. Doi: 10.1016/ S0003-9993(99)90270-8.
  3. Kamper D, Barin K, Parnianpour M., et al. Preliminary investigation of the lateral postural stability of spinal cord-injured individuals subjected to dynamic perturbations. Spinal Cord. 1999;37(1):40-6. doi: 10.1038/sj.sc.3100747.
  4. Sprigle S., Maurer C., Holowka M. Development of valid and reliable measures of postural stability. JSpinal. Cord.Med. 2007;30(1):40-9. doi: 10.1080/10790268.2007.11753913.
  5. Curtis K.F, Kindlin C.O.M, Reich K.M., Whit D.E. Functional reach in wheelchair users: the effects of trunk and lower extremity stabilization. Arch Phys Med Rehabil. 1995;76(4):360-67. doi: 10.1016/s0003-9993(95)80662-8.
  6. Maurer C.L., Sprigle S. Effect of seat inclination on seated pressure of individuals with spinal cord injury. Physical. Ther. 2004;84(3):255-61.
  7. Samuelsson K., Larson H., Thyberg M., Tropp H. Back pain and spinal deformity - common among wheelchair users with spinal cord injuries. Scand J Occupational Ther. 1996;3:28-32. doi: 10.3109/11038129609106679.
  8. Bergstrom E.M., Short D.J., Frankel H.L., et al. The effect of childhood spinal cord injury on skeletal development: a retrospective study. Spinal Cord. 1999;37(12):838-46. Doi: 10.1038/ sj.sc.3100928.
  9. Bolin I., Bodin P., Kreuter M. Sitting position -Posture and performance in C5-C6 tetraplegia. Spinal Cord. 2000;38(7):425-34. Doi: 10.1038/ sj.sc.3101031.
  10. ASIA and ISCoS International Standards Committee. The 2019 revision of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) - What's new? Spinal Cord. 2019;57(10):815-17. doi: 10.1038/s41393-019-0350-9.
  11. Hobson D.A., Tooms R.E. Seated lumbar/pelvic alignment. A comparison between spinal-cord injured and non injured groups. Spine. 1992;17(3):293-98.
  12. Sprigle S., Wootten M., Sawacha Z., Thielman G. Relationships among cushion type, backrest height, seated posture, and reach of wheelchair users with spinal cord injury. J Spinal Cord Med. 2003;26(3):236-43. doi: 10.1080/10790268.2003.11753690.
  13. Post M.W.M., van Asbeck F.W.A., van Dijk A.J., Schrijvers A.J.P. Services for spinal cord injured: availability and satisfaction. Spinal Cord. 1997;35(2):109-15. Doi: 10.1038/ sj.sc.3100362.
  14. May L.A., Butt C, Kolbinson K., et al. Wheelchair back-support options: functional outcomes for persons with recent spinal cord injury Arch Phys Med Rehabil. 2004;85(7):1146-50. doi: 10.1016/j.apmr.2003.08.105.
  15. Knott P, Sturm P, Lonner B., et al. Multicenter Comparison of 3D Spinal Measurements Using Surface Topography With Those From Conventional Radiography. Spine Deform. 2016;4(2):98-103. doi: 10.1016/j.jspd.2015.08.008.
  16. Mendes P.V.B., Gradim L.C.C., Silva N.S., et al. Pressure distribution analysis in three wheelchairs cushions of subjects with spinal cord injury. Disabil Rehabil Assist Technol. 2019;14(6):555-60. doi: 10.1080/17483107.2018.1463399.

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