Neck three damage
• Features: Unable to breathe autonomously (paralysis of diaphragm and intercostal muscles), unable to move limbs and trunk except head, unable to take care of themselves in daily life.
• This applies to:
Breathing machine;
High-back wheelchairs come with accessories and devices for various sitting retentions that hold the head, torso and limbs in a stable and proper position.
5 neck injury
• Features: Good diaphragm movement, no breathing difficulty, but low lung capacity. Shoulder blade can be raised, shoulder joint can be raised, elbow can be flexed (biceps), but no elbow extension (triceps paralysis), no wrist dorsiflexion. In this case:
• (1) high-back wheelchair;
• (2) When eating, still need to be equipped with the opposite palm orthosis, dorsal extension wrist orthosis.
Balanced forearm orthosis
• Bearing forearm orthosis is mainly used for patients with severe shoulder and elbow muscle weakness or paralysis and concurrent wheelchair use.
• It is a versatile, universal device that improves quality of life, not only by helping the patient to eat for himself, but also for the benefit of the patient
This device can be used for reading, writing, recreational activities, smoking and certain tasks.
•1. Biomechanics: the function of the shoulder, elbow and forearm is compensated by lifting or restraining the shoulder strap using two rolling bearings and shafts. Mounted for use in wheelchair.
•2. Indications: quadriplegic patients with C4 ganglion remnants, shoulder flexion, elbow extension muscle strength of 1 ~ 2 or above, can keep a stable sitting position. Six prerequisites for using the BFO:
① The muscle strength of shoulder and elbow is between grade 0 and grade 3, or the muscle strength is higher than grade 3 but the endurance is not enough.
② Have the ability to control the forearm support so that it can stand up.
(3) The joint has enough passive range of motion, the shoulder can bend forward and abduct 90°, so that the elbow joint can be raised. At the same time:
· In order to ensure that the forearm can support the front and back stilts, the shoulder joint can be externally rotated or internally rotated 60°
· The elbow joint is required to flex 130° in order for the hand to touch the face
· Forearm rotation should be 80° in order to enable the hand to pick up from the table
· Hip flexion of 85° is required for the patient to be fully upright
(4) Due to the small friction resistance of each BFO joint, good muscle movement coordination is required.
The patient must be able to sit upright for several hours.
(6) Trained in the correct adjustment and use of orthoses, of course, patients are required to have a high level of enthusiasm for use.