RESUMO
STUDY DESIGN: Observational cross-section study. OBJECTIVES: The objective of our study was to determine if the influence of a community environment would impact on ASIA D spinal cord injured (SCI) gait performance patients. Our main hypothesis is that an outdoor community environment may influence gait speed and endurance on community ambulating patients. METHODS: Ten-Meter Walking (10MWT) and Six-Minute Walking (6MWT) tests were performed on community ambulating SCI research participants (n=18) in two different environmental conditions: (1) Experimental (indoors Gymnasium) and (2) Natural (community setting). Average gait speed and endurance values were obtained for the two different conditions and analyzed for statistical significance on the nonparametric two-tailed Wilcoxon signed rank test. RESULTS: While no difference was observed on the 10MWT we found an improvement on gait performance on the 6 MWT on a community setting. CONCLUSIONS: Our study showed mixed results on environmental influence on gait speed and endurance on ASIA D patient population. While there is no difference on the 10 MWT, there is an improvement on gait performance on the communitary 6MWT.
Assuntos
Terapia por Exercício/métodos , Transtornos Neurológicos da Marcha/etiologia , Transtornos Neurológicos da Marcha/reabilitação , Traumatismos da Medula Espinal/complicações , Adulto , Idoso , Doença Crônica/psicologia , Doença Crônica/reabilitação , Estudos Transversais , Avaliação da Deficiência , Meio Ambiente , Ambiente Controlado , Terapia por Exercício/estatística & dados numéricos , Tolerância ao Exercício/fisiologia , Marcha/fisiologia , Transtornos Neurológicos da Marcha/psicologia , Humanos , Pessoa de Meia-Idade , Resistência Física/fisiologia , Modalidades de Fisioterapia/psicologia , Modalidades de Fisioterapia/estatística & dados numéricos , Facilitação Social , Resultado do TratamentoRESUMO
Breakage of an interlocking screw is a known complication in tibial fractures treated by intramedullary nailing. This happens most often in delayed union or nonunion because of the lack of progressive load transference from the nail to the healing bone. To treat this problem, the nail and screws need to be removed. This article describes a simple technique for the removal of broken interlocking screws.