Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8685223 | Journal of Clinical Neuroscience | 2018 | 4 Pages |
Abstract
Postoperative C5 paralysis is a serious complication of cervical spine surgery, with no established method for effective rehabilitation. A 67-year-old man presented with postoperative bilateral C5 paralysis following cervicothoracic surgery for ossification of the posterior longitudinal ligament (OPLL). Starting 15â¯days after surgery, left elbow joint training was performed 2-3 times weekly, for a total of 10 sessions, using an upper limb single-joint hybrid assistive limb (upper limb HAL-SJ). Right elbow joint training was also performed 5 times weekly starting 38â¯days after surgery, for a total of 10 sessions, using the upper limb HAL-SJ. No serious adverse events were noted during treatment with the upper limb HAL-SJ. Manual muscle testing showed no apparent change in deltoid and biceps strength on either side during use of the upper limb HAL-SJ; however, hand-held dynamometer testing showed improvement over time in both muscles. At 12â¯months after surgery, the patient was able to elevate both arms. The present case indicates initial safety and feasibility of treatment for postoperative C5 paralysis with an upper limb HAL-SJ.
Keywords
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Neurology
Authors
Shigeki Kubota, Tetsuya Abe, Masao Koda, Hideki Kadone, Yukiyo Shimizu, Yuki Mataki, Hiroshi Noguchi, Kengo Fujii, Aiki Marushima, Toru Funayama, Hiroaki Kawamoto, Yasushi Hada, Yoshiyuki Sankai, Masashi Yamazaki,