[Isokinetic dynamometric evaluation of rehabilitation results of elbow extension in tetraplegic patients].
The authors designed a protocol to assess isokinetic muscle strength of elbow in tetraplegic patients after rehabilitation of elbow extension. Twenty-seven elbows from 16 patients were assessed, after deltoïd-to-triceps (10 cases) or biceps to triceps transfer (17 cases); the mean follow-up was 39 months. Seventeen elbows from 9 healthy individuals were also assessed. Regardless of the type of the transfer performed, the extension torque was on average much lower in the group of tetraplegic patients than in the control group, especially at the beginning of the movement. However the dynamic appearance of the curve of torque in extension was similar in the two groups. The mean flexion torque was on average very low after biceps-to-triceps transfer, especially at the end of the movement, but remained acceptable after deltoïd-to-triceps transfer.
Bottero
L
L
Service de chirurgie plastique, reconstructrice et esthétique, Assistance publique-hôpitaux de Paris, hôpital Saint-Louis, France.
Houssin
B
B
Cormerais
A
A
Revol
M
M
Servant
J M
JM
D000328:Adult; D004551:Elbow Joint / Q000502:physiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011782:Quadriplegia / Q000534:rehabilitation*; D016059:Range of Motion, Articular; D013709:Tendon Transfer