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Related Experiment Videos

The weightbearing shoulder.

P C Wing, S J Tredwell

    Paraplegia
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Long-term swing-through crutch-walking gait did not cause shoulder degeneration in patients. This gait may even increase forearm bone density, suggesting a potential benefit for bone health.

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    Area of Science:

    • Orthopedics
    • Biomechanical Engineering
    • Radiology

    Background:

    • The swing-through crutch-walking gait is a common mobility method for individuals with lower limb impairments.
    • Concerns exist regarding the potential long-term effects of this gait on upper extremity joints, particularly the shoulder.

    Purpose of the Study:

    • To investigate the impact of prolonged swing-through crutch-walking gait on shoulder degeneration.
    • To assess clinical and radiographic evidence of shoulder joint changes in long-term users of this gait.

    Main Methods:

    • Examination of 20 shoulders in 10 patients with a mean of 8.7 years of swing-through gait usage.
    • Clinical assessment for signs of shoulder degeneration.
    • Radiographic evaluation using a specialized X-ray view to detect subtle degenerative changes.

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  • Measurement of forearm bone density.

    • Main Results:

    • No clinical or radiographic evidence of shoulder degeneration was found in any of the examined shoulders.
    • Patients demonstrated a mean increase in forearm bone density, indicating a positive effect on bone structure.
    • A specialized X-ray view was employed to thoroughly assess for potential degenerative changes.

    Conclusions:

    • The swing-through crutch-walking gait does not appear to induce shoulder degeneration, even after prolonged use.
    • The gait may positively influence bone health by increasing forearm bone density.
    • Further research could explore the biomechanical adaptations and long-term musculoskeletal health in individuals using assistive gait devices.