Scapular Stabilization in Patients With Spinal Cord Injury

J Spinal Cord Med, 2009 · DOI: · Published: August 1, 2009

Spinal Cord Injury Orthopedics Rehabilitation

Simple Explanation

Scapular instability can significantly impair arm function in people with high-level cervical spinal cord injury, affecting their ability to perform daily tasks. This instability weakens shoulder muscles, making it harder to raise the arm and perform activities like eating or grooming. Surgery to stabilize the scapula can improve arm function, reduce pain, and enhance appearance for individuals with tetraplegia and scapular instability.

Study Duration

26-41 months

Participants

4 people with spinal cord injury at C4–C5 (2 male, 2 female; mean age 5 17.3 years, range 5 14–20 years)

Evidence Level

Not specified

Key Findings

1
Scapular stabilization, both with and without fusion, can improve functional scores, especially in feeding and grooming capabilities.
2
Patients reported satisfaction with the cosmetic results of scapular stabilization surgery.
3
Some patients experienced a considerable reduction in shoulder pain following scapular stabilization surgery.

Research Summary

The study evaluated the effectiveness of scapular stabilization procedures (fusion and fusionless) in patients with high-level cervical spinal cord injury. Results showed improvements in functional scores, pain reduction, and satisfaction with appearance, although some patients experienced complications. The conclusion suggests that scapular stabilization is a viable option to improve upper extremity function and quality of life in select patients with tetraplegia.

Practical Implications

Improved Upper Extremity Function

Scapular stabilization can enhance the effectiveness of weakened shoulder muscles, improving the ability to perform hand-to-mouth and hand-to-head activities.

Pain Reduction and Skin Integrity

Stabilizing the scapula can alleviate shoulder pain and prevent skin breakdown caused by a prominent inferior pole.

Enhanced Quality of Life

Scapular stabilization, particularly the fusionless technique, can significantly improve independence and reduce fatigue during daily activities.

Scapular Stabilization in Patients With Spinal Cord Injury

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Upper Extremity Function

Pain Reduction and Skin Integrity

Enhanced Quality of Life

Study Limitations

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Scapular Stabilization in Patients With Spinal Cord Injury

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Upper Extremity Function

Pain Reduction and Skin Integrity

Enhanced Quality of Life

Study Limitations

Your Feedback

Was this summary helpful?