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Injuries to muscles, tendons, and ligaments

As muscles affected by paralysis become hypotrophied, their functions are taken over by other muscles that as a result become stronger from increased use. Arm and shoulder muscles are often remarkably well developed in people who depend upon wheelchairs. The risk of overuse of tendons and tendon attachments is increased by the additional demands made upon specific muscle groups. Impaired muscle strength often places greater loads on ligaments and increases the risk of ligament injury.

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