Neck injury characteristics (a) : shoulder joint can complete flexion, extension and adduction, abduction, rotation and other actions. The elbow can be flexed but still cannot be extended. Increased active dorsiflexion function of wrist joint, but weak flexion muscle strength.
• It can complete upper body changing movement, bed turning, sitting up and plane transfer (elbow hyperextension movement is required). In this case:
• (1) Ordinary wheelchair
• (2) Self-help writing AIDS such as C-shaped clip or C-shaped opposite palm pen holder or hand orthopedic device.
• (3) Equipped with touch-key environmental control system to assist in the control of electric lights, TV, doors, Windows and other household appliances and living facilities.
The thumb is fixed in the opposite palm position, and the index finger, middle finger and thumb can be pinched at three points. There are hinges at the MP joint and the wrist joint, and the pinching action is accomplished by the dorsiflexion movement of the wrist joint.
• root type
The thumb is fixed in the opposite palm position, and the index finger, middle finger and thumb can be pinched at three points. There are hinges at the MP joint and the wrist joint, and the pinching action is accomplished by the dorsiflexion movement of the wrist joint.
Neck injury characteristics (two) : shoulder joint in addition to adduction, abduction, flexion, extension, rotation, elbow joint can have extension action (triceps effect); Wrist joints can also be flexed, metacarpophalangeal joints can be extended, but the hand grip strength is poor. In addition to turning over, sitting up, can complete the double upper limb support action, can make the hip lift, can better complete the transfer action outside the plane, such as from the bed to the wheelchair or from the wheelchair to the toilet transfer. In this case:
• (1) Manual or hand-controlled wheelchair
• (2) Hand orthotics
• (3) A variety of self-help tools
• (4) Push-button environmental control system Chest injury
•1. Injury characteristics of thoracic 1-2: Some intercostal muscles and upper trunk muscles were functional, and fingers were functional. Due to the normal function of the upper limbs, they can complete most of the daily life and transfer movements, but the LBP muscle strength is insufficient. In this case:
• (1) Lumbar back orthosis, so that the trunk upright, increase lung capacity.
• (2) Standing training with hip, knee and ankle orthosis (HKAFO).
• (3) The use of double axillary crutch and hip knee ankle-foot orthosis can be used for stride walking training (therapeutic).
• (4) Ordinary wheelchair
• (5) self-help tools such as: often control pliers, etc.
Chest injury (1) Features: most of the intercostal muscles and upper trunk muscles are functional, which can be independently transferred from the bed to the wheelchair. Because the trunk muscles are partially functional, the purpose of assembling orthosis is to assist standing and training walking. Bilateral hip knee ankle foot orthosis is generally needed. Bilateral hip hinge and knee hinge lock can control hip flexion and knee bend. Additional coxal hinge needs to be connected with orthopaedic appliance of rigid chest waist sacral or orthopaedic appliance of hard waist sacral sometimes, in order to control the stability of trunk, have certain practical value, have adult model and child model cent, but use orthopaedic appliance still cannot complete fluctuation step action. In this case:
• (1) equipped with T1---2
• (2) Optional interactive walking orthotics (RGO, ARGO)
Chest injury (II) Features: normal intercostal muscles, trunk muscles and abdominal muscles, good balance function of trunk, using knee and ankle orthotics and crutches to stride 4 points walking training (functional), can complete most of life movements, including driving a disabled person's car, operating wheelchair through obstacles. This applies to:
• KAFO
• Double crutch (axillary or forearm crutch)
• a walker
• Regular wheelchairs (including sports wheelchairs)