Device-assisted muscle strengthening in the rehabilitation of patients after surgically stabilized vertebral fractures Michael Kramer, MD, Christoph.

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Presentation transcript:

Device-assisted muscle strengthening in the rehabilitation of patients after surgically stabilized vertebral fractures Michael Kramer, MD, Christoph Dehner, MD, Peter Katzmaier, MD, Frank Neuwirth, MD, Volker Ebert, MD, Martin Elbel, MD, Erich Hartwig, MD Archives of Physical Medicine and Rehabilitation Volume 86, Issue 3, Pages 558-564 (March 2005) DOI: 10.1016/j.apmr.2004.09.008 Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 MRI for determination of muscle volume before training. *Multifidus muscle; †iliocostal and longissimus muscles. Archives of Physical Medicine and Rehabilitation 2005 86, 558-564DOI: (10.1016/j.apmr.2004.09.008) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Comparison of the 2 muscle areas before (dark) and after (light) training. The area of the multifidus muscle remained unchanged whereas the area of the iliocostal and longissimus muscles increased. *Multifidus; †iliocostal and longissimus. Archives of Physical Medicine and Rehabilitation 2005 86, 558-564DOI: (10.1016/j.apmr.2004.09.008) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Increase in muscle strength after completion of the 12-week exercise program. Legend: black square is the median; grey box, the 1st and 3rd quartile; line, the range from minimum to maximum. Archives of Physical Medicine and Rehabilitation 2005 86, 558-564DOI: (10.1016/j.apmr.2004.09.008) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Change in CSA of the multifidus, the iliocostal and longissimus, and the total musculature after completion of the 12-week exercise program. Legend: black square is the median; grey box, the 1st and 3rd quartile; line, the range from minimum to maximum. Archives of Physical Medicine and Rehabilitation 2005 86, 558-564DOI: (10.1016/j.apmr.2004.09.008) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 5 Relation between average muscle strength and CSA of the longissimus and iliocostal muscles before (•) and after (△) the exercise program. Archives of Physical Medicine and Rehabilitation 2005 86, 558-564DOI: (10.1016/j.apmr.2004.09.008) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 6 Relation between extension muscle strength and CSA of the longissimus and iliocostal muscles before (•) and after (△) the exercise program. Archives of Physical Medicine and Rehabilitation 2005 86, 558-564DOI: (10.1016/j.apmr.2004.09.008) Copyright © 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions