Quantifying the magnitude of torque physiotherapists apply when stretching the hamstring muscles of people with spinal cord injury |
| |
Authors: | Harvey Lisa A McQuade Lea Hawthorne Scott Byak Adrian |
| |
Institution: | Moorong Spinal Injury Unit, Royal Rehabilitation Centre Sydney, Sydney, Australia. |
| |
Abstract: | OBJECTIVE: To quantify the magnitude of stretch that physiotherapists apply to the hamstring muscles of people with spinal cord injury (SCI). DESIGN: Repeated-measures design. SETTING: SCI unit in Australia. PARTICIPANTS: Fifteen individuals with motor complete paraplegia or tetraplegia. INTERVENTION: Twelve physiotherapists manually administered a stretch to the hamstring muscles of each subject. The stretch was applied by flexing the hip with the knee extended.Main Outcome Measure: Applied hip flexor torque. RESULTS: Therapists applied median hip flexor torques of between 30 and 68Nm, although some torques were as large as 121Nm. The stretch applied by different therapists to any 1 subject varied as much as 40-fold. CONCLUSION: There is a large range of stretch torques provided by physiotherapists to patients with SCI. Some therapists provide stretch torques well in excess of those tolerated by individuals with intact sensation. |
| |
Keywords: | Muscles Rehabilitation Spinal cord injuries Torque |
本文献已被 ScienceDirect PubMed 等数据库收录! |