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Thread: Ask a PT

  1. #161
    Wow Lee… what an unfortunate series of events!!
    I do think trying the aquatic therapy can be beneficial. It will unweight you while you can stretch and strengthen.
    Why was the newer wheelchair also not fit properly? Is this something that can be changed? Or do you have to wait for insurance?

    Have you considered getting an assist for your manual wheelchair? The power assist system can be heavy, but Magic Wheels are not http://www.magicwheels.com
    and there's the SmartDrive which is a power assist wheel that can attach to your chair as is whenever you want to use it.

    These options will decrease the work you have to do with pushing without going to a power chair. You may want to also see an orthopedic PT who could help with some modalities on the shoulders and soft tissue. If there's a sports PT who deals with baseball players in your area, they generally get how to work on damaged shoulders. I would not let anyone work on your neck until you have the MRI completed and have a better idea what is going on. The left hand tingling could be from the cervical spine or it could be a peripheral impingement. A PT should be able to help determine that.

    Hope that helps!
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  2. #162
    scitotal - thank you so much for the reply, unfortunate series of events indeed!

    Scheduled aquatic therapy today

    Assist wheels - at this time think I'm okay for total manual, can still roll with authority, in all honesty though its possible this shoulder breakdown is from many years of stubborn manual use, refused any help through college, may have paid a price

    Will question PT next week about baseball/shoulder specialist

    Thanks again!

    Lee

  3. #163
    Hi , a question . what are the best and most advance portable medical FES unit available for home use for spinal cord injury now ? not the FES bicycle but the portable FES unit to use at home (company's name , and model's number ) . Thanks

  4. #164

    Estim

    Quote Originally Posted by kz View Post
    Hi , a question . what are the best and most advance portable medical FES unit available for home use for spinal cord injury now ? not the FES bicycle but the portable FES unit to use at home (company's name , and model's number ) . Thanks

    You're looking for an NMES unit - check out this site:
    http://www.chattmed.com/index.php?act=viewCat&catId=20
    You'll need a prescription. I have the Intellect NMES Digital.

    Here's another:
    http://www.a3bs.com/primera-tensnmes...FUmUfgodca0A8A

    These are the more affordable units. I suggest asking a local physical therapist to help you set up the settings on whatever unit you get.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  5. #165
    I recently purchased a cybex arc trainer to try to help increase range of motion, endurance and strength. Any recommendations on a schedule I should follow? i.e. how many times a week, etc. It will be the only source of exercise, other than the everyday standing to transfer.

  6. #166
    Senior Member
    Join Date
    May 2013
    Location
    SF bay area, CA
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    I'm looking for the best exercise to strengthen the muscles used in making transfers. I'm a T10 female para, 36 years post, 62 years old. When I hit 60 my strength started to fade. Now my transfers are very sloppy and I end up crashing down on the target of my transfer. Before I transfer I'm filled with insecurity that I won't make it, fall and break some bones. It feels like I just don't have the strength to make a good transfer like I did the first 34 years of being a paraplegic. What would you advise to strengthen the muscles needed to perform a good transfer? Which muscles are used for the transfer?

  7. #167

    Foot drop AFO for night time?

    I have an AFO that fits into a sneaker, and I have exercises that I do regularly and I walk regularly but am still beginning to experience muscle contracture in the affected foot. It was damaged when a urse gave me an injection and hit the sciatic nerve. Is there an AFO that I can wear at night to help prevent the contracture from getting worse but that is not so bulky that it gets tangled up in the bedcovers?

  8. #168
    Hi Lola! So sorry I didn't see this post sooner - I am sure you have found a schedule that works for you...
    But in general, starting with 3 times per week is good. You want to be able to give your muscles time to rest and recover so that you don't over fatigue and risk injury. As you start to get stronger, you could add a 4th day. You're mainly training strength which is why you want rest. Endurance training needs to be added as well.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  9. #169
    Oh no! We don't want any crashes or falls!!
    For transfers, you're using the muscles that push - your pecs (chest) and triceps (back arm), so doing chest press and tricep press exercises will help. However, you also want to make sure you do exercises for the back (rows) and rotator cuff, otherwise the strength imbalances can cause pain.
    Also, practice your technique - the more you lean forward, the less work you have to do to move your bottom. This may be different than how you transferred for so many years.
    Consider getting an outpatient PT appointment with someone who understands SCI. You have a specific goal that shouldn't take more than a couple of sessions.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  10. #170
    Hmm... the bulkiness is always an issue. I can't say there's a great sleek option. The AFOs for sleeping need to be sufficiently padded so they don't cause skin breakdown (that would obviously lead to more serious problems!) Often PRAFO is the term used for the orthotic used in bed.
    I like that you recognize that the AFO will only prevent further loss of range and not help increase. Standing is the best way to increase range.
    Something else to think about with sleeping is your body positioning. Generally, we sleep with our feet pointed downward because of the mattress or covers, right? If you are able to sleep on your stomach, with your feet hanging down over the end (pillow under shins) then they aren't force down as much.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

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