You could try functional e-stim. However, my prognosis would not be good given
the delay in getting a repair and it now being 4 months post-op.
[log in to unmask] wrote:
> I have a patient who has been a T4 paraplegic for 44 years. Last November he
> ruptured his left triceps tendon, conservative treatment did not help and
> last April he had it surgically repaired. Both his shoulders are worn down to
> bone on bone and very limited in range. We seem to have got about 45% to 50 %
> of functional activity for tirceps but nowhere near enough for him to drive (
> uses left arm for accelerator and brakes), or for transfers. He was
> independant in transfers before his injury. He cannot actively extend his
> elbow against gravity or beyone 110 degrees with gravity eliminated. He has
> full range passively. Any ideas please?????? I have been doing isometric
> shoulder strengthening, active resisted biceps, active, resisted and active
> assisted triceps. Brushing, stroking, icing fascilitation of triceps to get
> some activity against gravity.
> Thanks Helen
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