Author/Authors :
Camilo de Oliveira, Rafaella Universidade Estadual de Campinas - School of Medical Sciences, Campinas, SP, Brazil , Bellintani de Freitas, Laura Universidade Estadual de Campinas - School of Medical Sciences, Campinas, SP, Brazil , Rocha Gomes, Roberta Universidade Estadual de Campinas - School of Medical Sciences, Campinas, SP, Brazil , Cliquet Júnior, Alberto Universidade Estadual de Campinas - School of Medical Sciences - Department of Orthopedics and Traumatology, Campinas, SP, Brazil
Abstract :
Objective: This study aims to review, identify and study the determi-
nations of the main orthopedic aspects in SCI patients. Methods:
A total of 80 articles from PUBMED and three theses (MSc. /DSc.)
were examined. Results: The results refer to the most essential joints.
There is a chronic overload on the shoulder girdle due to the use of the
upper limb as a supporting joint. The elbow presents osteoarthritis,
subclinical, acute and chronic pain, mainly in quadriplegic patients.
In the hand and wrist joints there are cases of paralysis, osteoporosis
and osteoarthritis. Hips are the main weight-bearing joints while sitting
which leads to a substantial degenerative process of this joint. Lastly,
on the knee, feet and ankles, spasticity, contractures, osteoporosis
and deformities can arise. Conclusion: Along with the increase in
cases and research that analyze the alterations that spinal cord-in-
jured individuals suffer, it is necessary to recognize the orthopedic
changes to understand their limits and identify the relevance of the
rehabilitation program to improve the muscle performance. Level
of Evidence II, Prognostic Studies – Investigating the Effect of
a Patient Characteristic on the Outcome of Disease.
