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Rehabilitation After Posterior Deltoid to Triceps Transfer in Tetraplegia

Koch-Borner, S. (författare)
Dunn, J. A. (författare)
Fridén, Jan, 1953- (författare)
Göteborgs universitet, Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för ortopedi, Gothenburg University, Institute of Clinical Sciences, Section for Anesthesiology, Biomaterials and Orthopaedics, Department of Orthopaedics
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Wangdell, Johanna, 1971- (författare)
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Göteborgs universitet Sahlgrenska akademin. Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för ortopedi. 
2016
Engelska.
Ingår i: Archives of Physical Medicine and Rehabilitation. - 0003-9993. ; 97:6, s. S126-S135
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective: To describe and evaluate the rehabilitation concept after posterior deltoid to triceps transfer in patients with tetraplegia. Participants: Patients with tetraplegia who had posterior deltoid to triceps tendon transfer and had muscle strength measurements 1 year postsurgery from 2009 to 2013 (N=44). Interventions: Posterior deltoid to triceps tendon transfer to restore elbow extension and postoperative rehabilitation. Main Outcome Measures: Elbow extension range of motion and muscle strength and the modified Canadian Occupational Performance Measure (COPM). Results: Surgery was performed on 53 arms. No major complications (eg tendon rupture, lengthening) were reported. Muscle strength measured 1 year after surgery was on average grade 3 (out of 5) in the 53 operated arms. The ability to extend the elbow against gravity was achieved in 62% of the arms (muscle strength of grade >= 3). In patients with a preoperative elbow extension deficit (n=14), the deficit was reduced on average from 16 degrees to 9 degrees. The performance of the prioritized activities as measured with the COPM improved on average 2.6 scale steps, from 3.3 to 5.9. Satisfaction with the performance improved on average 3.2 scale steps, from 2.8 to 6.0. Conclusions: The posterior deltoid to triceps tendon transfer with the applied rehabilitation protocol is a safe and effective procedure. There were no tendon ruptures, and all patients were able to complete the rehabilitation protocol. The shorter restriction time after surgery allows the patient to be independent at an earlier stage of the rehabilitation and reduces hospitalization or care burden. (C) 2016 by the American Congress of Rehabilitation Medicine

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Idrottsvetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)

Nyckelord

Quadriplegia
Reconstructive surgical procedures
Rehabilitation
Spinal cord injuries
Tendon
elbow extension
upper-limb
tendon transfer
reconstruction
quadriplegia
surgery
injury
biceps
grip
Rehabilitation
Sport Sciences

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Av författaren/redakt...
Koch-Borner, S.
Dunn, J. A.
Fridén, Jan, 195 ...
Wangdell, Johann ...
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MEDICIN OCH HÄLSOVETENSKAP
MEDICIN OCH HÄLS ...
och Hälsovetenskaper
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