F- CLINICAL ASPECTS OF SPINAL CORD INJURIES
541
FIG. 223.
in extended position by well-padded straps and, later on, by a triceps brace, as seen in
Fig. 6, on the left arm.
In view of the possibility of at least partial recovery of function of the triceps in these
cases, owing to the individual variability of its multi-segmental innervation, the import
ance of preventing further damage due to over-stretching by the overaction of the biceps
is emphasized. By systematic auto-assisted exercises, combined with daily electrical
stimulation of the triceps, its function may recover to such a degree that extension of the
forearm against gravity and resistance may become possible. This increases the tetra-
plegic's independence immensely and enables him to lift himself, use his wheelchair,
