AI Article Synopsis
- The study evaluated the isokinetic muscle strength of the elbow in tetraplegic patients who underwent rehabilitation for elbow extension, comparing it to healthy individuals.
- Despite rehabilitation, tetraplegic patients showed significantly lower extension torque than the control group, particularly at the initial phase of movement.
- The flexion torque results varied based on the type of surgical transfer, with biceps-to-triceps transfers yielding very low flexion torque while deltoid-to-triceps transfers maintained more acceptable levels.
Article Abstract
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.
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