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Physical therapists are able to provide a variety of exercise interventions, including, passive range of motion exercises, upper body wheeling (arm crank ergometry), functional electrical stimulation, and electrically stimulated resistance exercises all of which can improve arterial function in those living with SCI. [23]
Aquatic therapy is beneficial for people with spinal cord injury or disorder. Aquatic therapy promotes physical and psychosocial benefits for patients with spinal cord injury and disorders. In a study, underwater treadmill training improved lower extremity strength, balance and gait in people who suffer from partial damage to their spinal cord.
Sitting and bending or leaning forward tend to provide relief. Patients may also report that pain is worse while walking down stairs and improved while walking up stairs or using a bicycle or shopping cart. [1] A positive "shopping cart sign" refers to the worsening of pain with spinal extension and improvement with spinal flexion. [10]
Compression of the upper spinal cord, multiple sclerosis, transverse myelitis, Behçet's disease, osteogenesis imperfecta In neurology , Lhermitte phenomenon , also called the barber chair phenomenon , is an uncomfortable "electrical" sensation that runs down the back and into the limbs.
There are no high-quality randomized trials supporting the practice of spinal cord immobilization in the field. [12] However, secondary injury (i.e. injury to the spinal cord during transport after an initial trauma), is suspected to be the cause of up to 1/4 of spinal cord injuries. [12]
Spinal stenosis is an abnormal narrowing of the spinal canal or neural foramen that results in pressure on the spinal cord or nerve roots. [6] Symptoms may include pain, numbness, or weakness in the arms or legs. [1] Symptoms are typically gradual in onset and improve with leaning forward. [1]