Subject(s)
Neurosurgery/history , Germany, West , History, 19th Century , History, 20th Century , Humans , Paraplegia/history , United KingdomABSTRACT
Delayed appearance of heterotopic ossification in the lumbar region occurred in a 34-year-old man with a high thoracic paraplegia. The occurrence of lumbar heterotopic ossification seems not to have been previously reported in the literature.
Subject(s)
Lumbosacral Region , Ossification, Heterotopic/diagnosis , Adult , Humans , Lumbosacral Region/diagnostic imaging , Male , Ossification, Heterotopic/complications , Ossification, Heterotopic/diagnostic imaging , Paraplegia/complications , Paraplegia/diagnostic imaging , RadiographyABSTRACT
This paper discusses the development of a pilot project in respiratory rehabilitation as part of the total rehabilitation of the tetraplegic and high paraplegic. The principles of neuromuscular exercise and of behaviouristic psychology introduce the subject of operant learning in the rehabilitation setting. Incentive spirometry is described as the basic element in the development of a respiratory rehabilitation programme. The preliminary results are analysed and a recommendation made that such a programme materially increases the respiratory function of the tetraplegic, and, not least, assists in his ability to combat intercurrent respiratory infection.
Subject(s)
Conditioning, Operant , Quadriplegia/rehabilitation , Respiration Disorders/rehabilitation , Adolescent , Adult , Female , Humans , Male , Middle Aged , Quadriplegia/complications , Rehabilitation/instrumentation , Respiration Disorders/etiology , SpirometryABSTRACT
Three detailed case histories are added to those previously published in the literature and from the evidence now available a proposal is made that a paediatric syndrome of traumatic myelopathy without demonstrable vertebral injury be recognised as a definite clinical entity. The mechanisms of injury, evolution, patterns of paralysis and pathological evidence are discussed. The conclusion is drawn that no form of treatment yet known can influence the prognosis in this syndrome.
