Sports Medicine for Special Groups
[…] adaptive equipment needs, cardiopulmonary assessment, and to the common areas of injury for each sub-sect of para-athlete. In the spinal cord injury population, many individuals rely on wheelchairs for mobility. As such, injuries can be particularly devastating to the athlete’s independence. […]
Cervical, Thoracic and Lumbosacral Orthoses
[…] post-surgical stabilization and/or fusion Osteoporosis Kyphosis or scoliosis Arthritic conditions: inflammatory or non-inflammatory, osteoarthritis Paralysis from neuromuscular disease Paralysis from spinal cord injury Potential complications associated with Spinal Orthotic use Loss of skin integrity Weakening of axial muscles Soft tissue contracture formation […]
Shoulder Problems – Pain in the Wheelchair Athlete
[…] shoulder dislocation.8 Adhesive capsulitis.8 Distal clavicle and first rib stress fractures.8 Essentials of Assessment History Pain assessment.2 For patients with spinal cord injury, identify motor and neurologic level of injury.2 Treatment to date. Current medications. Handedness. Wheelchair properties. Home and athletic environment. […]
Heterotopic Ossification
[…] due to bone loss from immobilization.23 A 24hr urine Prostaglandin E2 can be elevated in early HO. One study of spinal cord injury patients recommended measuring this value once a week from the initial injury to 3 to 4 months post-injury for […]
Pediatric Burns
[…] care. Patients with burn injuries from motor vehicle accidents may have additional injuries such as fractures, traumatic brain injuries or spinal cord injuries. Patients who have been in house fires may have inhalation injury (which may impact endurance and physical […]
Brachial Plexopathy: Differential Diagnosis and Treatment
[…] on the etiology of injury. Traumatic injuries are more common in males aged between 15 and 25 years.2 Like traumatic spinal cord injury, these injuries are most often associated with motor vehicle and often motorcycle collisions.3 In adults, the most common cause […]
Lumbosacral Plexopathy and Sciatic Neuropathy: Differential Diagnosis and Treatment
Disease/Disorder Definitions Lumbosacral plexus: network of nerves formed by the ventral rami of the lumbar and sacral spinal cord. Lumbosacral plexopathy (LSP): an injury to the nerves in the lumbar and/or sacral plexus. Lumbosacral radiculoplexus neuropathy (LRPN): injury involving the […]
Neurogenic Bowel
[…] (fecal constipation, fecal impaction) or failure to contain stool (fecal incontinence). Etiology NB can be seen in multiple conditions, including spinal cord injury (SCI), brain injury, stroke, spina bifida, Parkinson’s disease (PD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), peripheral nerve injuries […]
Cervical Whiplash
[…] radicular findings.39-42 Manipulation does come with some risk. There have been over 400 reported cases of adverse events after cervical manipulations include arterial dissection (20%), brain stem injury (18%), Wallenberg syndrome (12%), cerebellar injury (10%), spinal cord injury, thrombosis, locked in syndrome (
Paroxysmal Sympathetic Hyperactivity
[…] a lesion in the inhibitory centers in the brainstems and diencephalon reduces tonic descending inhibition to afferent sensory information from spinal cord circuits. This amplifies normally non-nociceptive afferent input from the periphery and leads to over-excitation of the sympathetic response.3,17 […]