Sagittal spinal alignment in paraplegics: a new paradigm for the rehabilitation under neuromuscular electrical stimulation

dc.creatorMEDEIROS, R. Castro de
dc.creatorJACCARD, A. P. B.
dc.creatorCLIQUET JR., A.
dc.date2010
dc.date2013-07-26T17:57:43Z
dc.date2016-07-01T15:12:52Z
dc.date2013-07-26T17:57:43Z
dc.date2016-07-01T15:12:52Z
dc.date.accessioned2018-03-29T01:55:30Z
dc.date.available2018-03-29T01:55:30Z
dc.identifierSPINAL CORD, v.48, n.3, p.251-256, 2010
dc.identifier1362-4393
dc.identifier10.1038/sc.2009.123
dc.identifierhttp://apps.isiknowledge.com/InboundService.do?Func=Frame&product=WOS&action=retrieve&SrcApp=EndNote&UT=000275194800012&Init=Yes&SrcAuth=ResearchSoft&mode=FullRecord
dc.identifierhttp://dx.doi.org/10.1038/sc.2009.123
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/391
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/391
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1308812
dc.descriptionStudy design: Radiographic analysis of sagittal spinal alignment of paraplegics in a standing position under surface neuromuscular electrical stimulation (NMES). Objectives: Describing the radiographic parameters of the sagittal spinal alignment of paraplegics going through a rehabilitation program with NMES. Setting: The University Hospital`s Ambulatory (UNICAMP), Campinas, Sao Paulo, Brazil. Methods: Panoramic X-ray images in profile were taken for 10 paraplegics. All patients participated in the rehabilitation program and were able to perform gait through NMES of the femoral quadriceps muscles. The radiographic parameters used for the analysis were the same as those described in the literature for healthy people. The results were didactically organized into three groups: anatomical shape of the spine, morphology and kinetics of the pelvis and spinopelvic alignment. Results: The physiological curvature of the spine in paraplegics showed average values similar to those described in the literature for healthy patients. The inversion of the pelvic tilt and the increase in the sacral slope were defined by the anterior backward rotation of the pelvis. The existing theoretical mathematical formulas that define lumbar lordosis, pelvic incidence and pelvic tilt showed normal values, despite the anterior intense sagittal imbalance. Conclusions: The adaptive posture of the spine in paraplegics standing through the stimulation of the femoral quadriceps does not allow for a neutral sagittal alignment. This novel radiographic detailed description of the various segments of the spine can be of assistance toward the understanding of the global postural control for such subjects. Spinal Cord (2010) 48, 251-256; doi: 10.1038/sc.2009.123; published online 29 September 2009
dc.description48
dc.description3
dc.description251
dc.description256
dc.languageeng
dc.publisherNATURE PUBLISHING GROUP
dc.publisherInglaterra
dc.relationSpinal Cord
dc.rightsfechado
dc.rightsCopyright NATURE PUBLISHING GROUP
dc.sourceWOS
dc.subjectspinal cord injury
dc.subjectparaplegic standing
dc.subjectneuromuscular electrical stimulation
dc.subjectsagittal spinal alignment
dc.subjectCORD-INJURY
dc.subjectADULT VOLUNTEERS
dc.subjectSTIFFNESS
dc.subjectRESPONSES
dc.subjectSYSTEMS
dc.subjectLINE
dc.subjectClinical Neurology
dc.titleSagittal spinal alignment in paraplegics: a new paradigm for the rehabilitation under neuromuscular electrical stimulation
dc.typeArtículos de revistas
dc.typeArtículos de revistas
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución