Pneumatic orthoses were used to mobilise eight post-traumatic thoracic paraplegic males whose progress was monitored for two years. The pneumatic orthosis was more likely to be used than pelvic brace and calipers mainly due to increased support for the pelvis and the thoracolumbar spine. The effects of the orthosis and the mobilisation upon patient physiology were studied. Beneficial effects upon cardiovascular and respiratory systems were noted and increases in total body calcium after mobilisation were found. Contraindications to fitting the orthosis include severe spasms, obesity and scoliosis.
Bergmann P, Heilporn A, Schoutens A, Paternot J, Tricot, A 1977 Longitudinal study of calcium and bone metabolism in paraplegic patients. Paraplegia 15:147–159.
Clinkingbeard J R, Gersten J W, Hoehn D 1964 Energy cost of ambulation in the traumatic paraplegic. American Journal of Physical Medicine 43:157–165.
Coghlan J K, Robinson C E, Newmarch B, Jackson G 1980 Lower extremity bracing in paraplegia—a follow-up study. Paraplegia 18:25–32.
Freehafer A A, Hazel C M, Becker C L 1981 Lower extremity fractures in patients with spinal cord injury. Paraplegia 19:367–372.
Hancock D A, Reed G W, Atkinson P J, Cook J B, Smith, P H 1979 Bone and soft tissue changes in paraplegic patients. Paraplegia 17:267–271.
Huang C, Kuhlemeier K V, Moore N B, Fine P R 1979 Energy cost of ambulation in paraplegic patients using Craig-Scott braces. Archives of Physical Medicine and Rehabilitation 60:595–600.
Kaplan P E, Roden W, Gilbert J, Richards L, Goldschmit, J W 1981 Reduction in hypercalciuria in tetraplegia after weight bearing and strengthening exercises. Paraplegia 19:289–293.
Kennedy N S J, Eastell R, Ferrington C M, Simpson J D, Smith, M A, Strong J A, Tothill P 1982 Total body neutron activation analysis of calcium: Calibration and normalisation. Physics in Medicine and Biology 27:697–707.
Mikelberg R, Reid S 1981 Spinal cord lesions and lower extremity bracing: An overview and follow-up study. Paraplegia 19:379–385.
Minaire P, Meunier P, Edouard C, Berard E, Pilonchery, G 1982 Histomorphometric study of acute osteoporosis in paraplegic patients. Paraplegia 20:281.
Morel G 1971 Un nouveau type d'appareillage orthopaedique, l'appareillage a attelles penumatiques. Revue de Chirargie Orthopedique et Reparatrice de l'Appareil Moteur 57:409–414.
McAdam R, Natvig H 1980 Stair climbing and ability to work for paraplegics with complete lesions—A sixteen year follow-up. Paraplegia 18:197–203.
Naftchi N E, Viau A T, Sell G H, Lowman, E W 1980 Mineral metabolism in spinal cord injury. Archives of Physical Medicine and Rehabilitation 61:139–142.
Rideau Y, Morel G, Barrachina L, Benassy, J 1975 Premiere analyse critique de l'utilisation des ortheses pneumatiques. Annales de Medecine Physique 18:1–27.
Rosman N, Spira, E 1974 Paraplegic use of walking braces: a survey. Archives of Physical Medicine and Rehabilitation 55:310–314.
Silber M, Chung T S, Varghese G, Hinterbuchner, C, Bailey R, Hivry R 1975 Pneumatic Orthosis: Pilot study. Archives of Physical Medicine and Rehabilitation 56:27–32.
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Strachan, R., Cook, J., Wilkie, W. et al. An evaluation of pneumatic orthoses in thoracic paraplegia. Spinal Cord 23, 295–305 (1985) doi:10.1038/sc.1985.47
- Thoracic paraplegia
- Pneumatic orthoses
- Physiological assessment
- Total body calcium
Topics in Spinal Cord Injury Rehabilitation (2009)
Disability and Rehabilitation: Assistive Technology (2008)