[automatically translated] Aim of the work was to evaluate male paraplegic patients the bone adaptations of the spine as a whole and of the various skeletal segments as a result of prolonged immobility and to propose new protocols of physical activity that can both limit the progressive deterioration of the structures osteo-articular, both to prepare patients' use of new technologies that allow even a partial motor autonomy. The study involved twenty-five subjects voluntarily paraplegic male with complete injuries T3 L3, split into two groups in relation to the years of injury: the first group consists of 13 subjects with spinal cord injuries occurred less than ten years; the second group includes 12 subjects with spinal cord injuries present for over ten years. For the evaluation of the bone tissue of the spine and adaptations of the various skeletal segments it was measured the bone density of subjects by DEXA technique. The values of BMD and T-scores of the total body and lumbar L1-L4 of the two groups are in the norm, unlike those of the lower limbs which show a state of osteoporosis; this figure shows that the effect demineralizing immobility involves in particular the structures no longer subjected to mechanical stress. Our data indicate that there is no relationship between the number of years from the lesion and the loss of bone mass; In fact, even in the group of subjects with spinal cord injury for less than ten years you have a major loss of bone mass. The figure of normality of BMD and T-score, encountered at the level of L1-L4 lumbar spine it is justified in our opinion from a local bio-mechanical element; in fact, the sitting position in a wheelchair determines a continuous mechanical stress on the lumbar spine and in particular on the first two vertebrae promoting the maintenance of bone mass in this stretch. The motor treatment of spinal cord injured subjects is divided into a series of interventions, exercises and activities aimed at overcoming the limitations imposed by the disease, the patient's functional recovery and social inclusion.
|Number of pages||23|
|Journal||RIVISTA DELLA FACOLTÀ DI SCIENZE MOTORIE DELL'UNIVERSITÀ DEGLI STUDI DI PALERMO|
|Publication status||Published - 2008|