scholarly journals The effect of slalom practice on handgrip strength of water-skiing athletes with paraplegia

2019 ◽  
Vol 14 (41) ◽  
pp. 139-148

In water skiing, people who experience paraplegia ski in a sitting position, and they rely on hand grip strength (HGS) to grab the tow rope handle and run slalom passes. This study evaluated the immediate effects on maximum HGS after the practice of disabled water skiing, a still unknown aspect. In the dominant hand, maximum HGS was measured by hand-grip dynamometry after 14 practices of four male water skiers with complete spinal cord injury participating in a national championship, with mean age (standard deviation) of 37.2 (7.3) years and 2.5 (1.3) years of experience in water skiing. After practice, maximum HGS was reduced (pre-practice: 48.4 (3.6) kg; post-practice: 39.1 (8.7) kg) (p <0.001), with a large effect size (Cohen dz> 1.15). The lowest percentage decrease, 9.8 (8.3)%, was observed for the only skier with advanced level and highest maximum HGS pre-practice, while the skier with lowest maximum HGS pre-practice and an intermediate level showed a reduction of 38.9 (10.6)%. In the set of practices of the four skiers, the maximum HGS reduction after a mean grip time of 20.5 min was 18.5%, with no correlation between these variables (r = 0.49, p = 0.076). Practising slalom water-skiing in sitting position by people experiencing paraplegia leads to a decrease in the maximum HGS of the dominant hand, the percentage decrease may be in relation to competitive level and physical fitness of the skiers.

2019 ◽  
Vol 237 (12) ◽  
pp. 3175-3183 ◽  
Author(s):  
Tomoya Nakanishi ◽  
Hirofumi Kobayashi ◽  
Hiroki Obata ◽  
Kento Nakagawa ◽  
Kimitaka Nakazawa

2014 ◽  
Vol 21 (3) ◽  
pp. 454-457 ◽  
Author(s):  
Timothy J. Kovanda ◽  
Eric M. Horn

Secondary injury following initial spinal cord trauma is uncommon and frequently attributed to mismanagement of an unprotected cord in the acute time period after injury. Subacute posttraumatic ascending myelopathy (SPAM) is a rare occurrence in the days to weeks following an initial spinal cord injury that is unrelated to manipulation of an unprotected cord and involves 4 or more vertebral levels above the original injury. The authors present a case of SPAM occurring in a 15-year-old boy who sustained a T3–4 fracture-dislocation resulting in a complete spinal cord injury, and they highlight the imaging findings and optimum treatment for this rare event.


2021 ◽  
Vol 27 (3) ◽  
pp. 49-59
Author(s):  
Frederico Ribeiro Neto ◽  
Jefferson Rodrigues Dorneles ◽  
João Henrique Carneiro Leão Veloso ◽  
Carlos Wellington Gonçalves ◽  
Rodrigo Rodrigues Gomes Costa

Objectives: To establish predictive equations for peak torque of muscle groups with totally and partially preserved innervation in individuals with motor complete spinal cord injury (SCI), based on hand dynamometry and strength predictor variables. Methods: The cross-sectional study conducted at a rehabilitation hospital consecutively recruited 108 men and women with SCI. All participants performed maximum peak torque tests for shoulder abduction/adduction (isokinetic), trunk flexion/extension (isometric), and handgrip strength testing (hand dynamometer) to establish predictive peak torque equations. The primary outcomes were peak torque variables. Handgrip strength, age, injury level, time since injury, age at injury, body mass, height, body mass index, and physical activity level were the secondary outcomes used as strength predictor variables. Results: Handgrip strength was a predictor variable for shoulder abduction/adduction peak torque. The best predictive models for shoulder abduction/adduction peak torque exhibited R2 = 0.57 and R2 = 0.60, respectively (p ≤ .05). Injury level showed the highest significant predictive capacity for trunk flexion/extension peak torque models (R2 = 0.38 and R2 = 0.29; p ≤ .05). Conclusion: Shoulder abduction/adduction peak torque predictive equations may be an alternative for use in an accessible strength tool (hand dynamometry) to evaluate training and rehabilitation programs. Trunk flexion/extension peak torque equations exhibited moderate correlations and high standard error of the estimates and should be used with caution.


2015 ◽  
Vol 14 (1) ◽  
pp. 50-52
Author(s):  
Carlos Abraham Arellanes-Chávez ◽  
Ariana Martínez Bojórquez ◽  
Ernesto Ramos Martínez

OBJECTIVES: To determine whether the intervention in rats is effective in terms of spinal cord regeneration and locomotor recovery, in order to obtain sufficient evidence to apply the therapy in humans. METHODS: a randomized, controlled, experimental, prospective, randomized trial was conducted, with a sample of 15 adult female Sprague-Dawley rats weighing 250 gr. They were divided into three equal groups, and trained for 2 weeks based on Pavlov's classical conditioning method, to strengthen the muscles of the 4 legs, stimulate the rats mentally, and keep them healthy for the surgery. RESULTS: It was observed that implantation of these cells into the site of injury may be beneficial to the process of spinal cord regeneration after spinal trauma, to mediate secretion of neurotrophic and neuroprotective chemokines, and that the OECs have the ability to bridge the repair site and decrease the formation of gliosis, creating a favorable environment for axonal regeneration. CONCLUSION: It is emphasized that the olfactory ensheathing glial cells possess unique regenerative properties; however, it was not until recently that the activity of promoting central nervous system regeneration was recognized.


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