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Paralysis of the trapezius: a case report
1Physical Therapy Department, St. Mary's Hospital, East St. Louis, IL 62201.
Archives of Physical Medicine and Rehabilitation
|July 1, 1991
Summary
Physical therapy addressed spinal accessory nerve injury impacting shoulder mobility. Despite extensive treatment, the patient experienced limited upper extremity function due to lack of nerve regeneration.
Area of Science:
- Neurology
- Physical Therapy
- Orthopedics
Background:
- Peripheral nerve injuries, specifically involving the spinal accessory nerve, can significantly impair shoulder function.
- Scapular upward rotation is crucial for achieving full elevation of the upper extremity.
Observation:
- A patient with a spinal accessory nerve injury affecting the right shoulder underwent a specialized physical therapy program.
- The treatment aimed to compensate for the lack of upward scapular rotation, a common deficit in such injuries.
Findings:
- Over two and a half years, the patient's physical therapy encountered numerous challenges.
- No evidence of nerve regeneration was observed, resulting in persistent limited mobility of the affected upper extremity.
Implications:
- This case highlights the long-term functional limitations following spinal accessory nerve injuries.
- It underscores the need for adaptive strategies and realistic expectations in managing patients with severe peripheral nerve damage affecting the shoulder.