significantly reduced cervical motion. Study findings will help clinicians select the optimum cervical orthosis for nonsurgical and postsurgery use based on biomechanical performance of cervical orthoses. Selecting the optimum cervical orthosis increases the veterans' clinical outcome in nonsurgical treatment of cervical disorders, minimizes postsurgery complications, and reduces the incidence of failed reconstructive procedures for cervical injuries and degenerative disorders.

Home exercise program improves upper-body endurance for wheelchair users, pg# 501
Research determined if a home exercise program would improve cardiorespiratory endurance in manual wheelchair users, with and without upper-limb impairment. Twenty-seven manual wheelchair users completed a 12-week monitored home exercise program, which included biweekly visits to the laboratory to monitor progress and adherence. Aerobic capacity and exercise endurance tests were completed before training, at six weeks, and after exercise program completion. Results suggest that a home exercise program simulating propulsion can improve endurance in users of wheelchairs. Those with upper-limb impairment received the greatest benefits. Improved endurance may reduce the incidence of overuse injuries that could further impede ambulation in this population.

Electrical stimulation increases elbow extension in individuals with SCI, pg # 477
Study evaluated the effect of electrical stimulation on the paralyzed triceps of individuals with tetraplegia, measuring the increase in elbow extension strength and controllable workspace. Measurements were taken on 11 individuals with cervical level spinal cord injuries (SCIs). Elbow extension was measured at different elbow angles, along with the number of times and speed in moving an object to different positions in a workspace. Elbow extension neuroprostheses provided statistically significant increases in the ability of an individual t
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Contact: Judith LaVoie
Judith@vard.org
410-962-1800 x 229
VA Research Communications Service
11-Dec-2003

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