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A new dynamic triceps-driven orthosis (DTDO): achieving elbow flexion in patients with C5 deficits.

Abstract
This report describes a unique orthosis designed to assist activities of daily living for a patient with severe proximal upper limb weakness caused by traumatic central cord syndrome. The orthosis-the dynamic triceps-driven orthosis (DTDO)-provides elbow flexion using contralateral elbow extension to move a cable threaded across the shoulders and wrist cuffs bilaterally. The device is a simple, inexpensive design that can be reproduced by any orthotist. The DTDO has been used successfully for other patients with severe weakness in C5- and C6-innervated muscles.
AuthorsB D Lawlor, K A Stolp-Smith
JournalArchives of physical medicine and rehabilitation (Arch Phys Med Rehabil) Vol. 79 Issue 10 Pg. 1309-11 (Oct 1998) ISSN: 0003-9993 [Print] United States
PMID9779691 (Publication Type: Case Reports, Journal Article)
Topics
  • Activities of Daily Living
  • Elbow Joint (physiopathology)
  • Equipment Design
  • Humans
  • Laminectomy
  • Male
  • Middle Aged
  • Orthotic Devices
  • Range of Motion, Articular
  • Skiing (injuries)
  • Spinal Cord Injuries (etiology, physiopathology, rehabilitation, surgery)
  • Spinal Fusion
  • Syndrome

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