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Acceptable benefits...
Acceptable benefits and risks associated with surgically improving arm function in individuals living with cervical spinal cord injury
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Anderson, K. D. (författare)
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- Fridén, Jan, 1953 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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Lieber, R. L. (författare)
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(creator_code:org_t)
- 2009
- 2009
- Engelska.
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Ingår i: Spinal Cord. - 1362-4393. ; 47:4, s. 334-8
- Relaterad länk:
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https://gup.ub.gu.se...
Abstract
Ämnesord
Stäng
- STUDY DESIGN: Secure, web-based survey. OBJECTIVES: To determine how quadriplegics in the US view tendon transfer surgeries (TTS) and what activities of daily living (ADL) involving arm/hand function are important in improving quality of life (QoL). SETTING: World wide web. METHODS: Individuals >or=18 years of age living with a cervical spinal cord injury (SCI). Participants obtained a pass code to enter a secure website and answered survey questions. A total of 137 participants completed the survey. RESULTS: Two-thirds of participants had injury levels between C4/5 and C5/6. Over 90% felt that improving their arm/hand function would improve their QoL. ADL that were ranked most important to regain were dressing, feeding, transferring in/out of bed, and handwriting. Less than half of the participants had never been told about TTS and only 9% had ever had TTS. Nearly 80% reported that they would be willing to spend 2-3 months being less independent, while recovering from surgery, to ultimately become more independent. Over 75% reported that the ideal time preferred to have TTS, if chosen, would be within 5 years post-injury. CONCLUSION: Regaining arm and hand function is of primary importance to individuals with cervical SCI, in particular, to increase independence in multiple ADL. There is a critical need in the US to improve awareness of TTS as a viable option for improving arm/hand function in some people. This information needs to be provided early after injury so that informed choices can be made within the first 5 years.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- *Activities of Daily Living
- Adult
- Arm/*physiopathology
- Cervical Vertebrae
- Female
- Health Surveys
- Humans
- Male
- Middle Aged
- *Quality of Life
- Recovery of Function/*physiology
- Risk
- Spinal Cord Injuries/epidemiology/*pathology/*surgery
- Tendon Transfer/methods/statistics & numerical data
- Time Factors
- United States/epidemiology
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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