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  4. Anthropometric and Biomechanical Characteristics of Body Segments in Persons with Spinal Cord Injury

Anthropometric and Biomechanical Characteristics of Body Segments in Persons with Spinal Cord Injury

J Biomech, 2017 · DOI: 10.1016/j.jbiomech.2017.01.036 · Published: April 11, 2017

Spinal Cord InjuryPhysiologyBiomechanics

Simple Explanation

This study investigates how spinal cord injury (SCI) affects the distribution of body mass and composition, considering the time since injury and obesity. It is important to accurately represent the anthropometrics of SCI population in biomechanical studies. The study found that people with chronic SCI tend to have a greater proportion of their mass in the trunk and upper limbs, and less in the lower limbs, compared to those with acute SCI. Obesity further exacerbates this shift in mass distribution. These findings highlight the need for population-specific anthropometric data in biomechanical models used for rehabilitation and therapeutic interventions for individuals with SCI.

Study Duration
June 2012 and October 2015
Participants
100 patients with SCI (78 male and 22 female)
Evidence Level
Not specified

Key Findings

  • 1
    Chronic SCI is associated with a shift in mass proportion from lower limbs to the trunk and upper arms, and decreased lean mass proportion, especially in the trunk.
  • 2
    Obesity strongly affects the anthropometric characteristics of all males with SCI and is associated with a higher proportion of the body mass located in the trunk and away from the distal limbs.
  • 3
    People who used wheelchairs had significantly greater normalized shank mass by 4.7 %BW (p = 0.002) and greater trunk lean mass ratio by 7.2 % (p = 0.036) than those who did not use a wheelchair.

Research Summary

This study aimed to quantify anthropometric parameters in individuals with SCI and examine the effects of injury duration and obesity. The results indicate that mass distribution and tissue composition change over time post-injury and are significantly influenced by obesity. Compared to acute SCI, chronic SCI is linked to a shift in mass proportion from the lower limbs to the trunk and upper arms, along with a reduction in lean mass proportion, particularly in the trunk region. Obesity has a strong influence on the anthropometric characteristics of males with SCI, leading to a greater proportion of body mass in the trunk and away from distal limbs, a proximal shift in COM, and changes in ROG at the thigh and shank.

Practical Implications

Improved Biomechanical Models

The data can be used to create more accurate biomechanical models for SCI populations, considering obesity and injury duration.

Targeted Rehabilitation Strategies

Understanding changes in body composition can inform targeted rehabilitation to address muscle loss and fat accumulation.

Risk Assessment and Prevention

Identifying anthropometric changes associated with obesity in SCI can help assess and prevent cardiovascular disease risks.

Study Limitations

  • 1
    Parameters for head, hands, and feet were not calculated.
  • 2
    The study population was from a single rehabilitation hospital location.
  • 3
    The number of SCI females in the current study limited our ability to examine the effect of obesity in females.

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