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Early Active Rehabilitation After Grip Reconstructive Surgery in Tetraplegia
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- Wangdell, Johanna, 1971 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Bunketorp Käll, Lina, 1975 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
- Koch-Borner, S. (författare)
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- (creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
- Ingår i: Archives of Physical Medicine and Rehabilitation. - : Elsevier BV. - 0003-9993. ; 97:6, s. S117-S125
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Objective: To describe and evaluate the concept of early active rehabilitation after tendon transfer to restore grip function in tetraplegia. Participants: All patients with tetraplegia who underwent tendon transfer to restore grip ability during 2009 to 2013 (N=49). Intervention: Reconstructive tendon transfer surgery with early active rehabilitation to restore grip ability in tetraplegia. Main Outcome Measures: Grip and pinch strength, grip ability test, and outcome of prioritized activities. Results: In the 49 surgeries performed, postoperative complications included 2 patients with bleeding and 2 infections related to the surgery. There were no reported ruptures or lengthening of transferred tendons. Within 24 hours after surgery, all 47 patients (100%) with finger flexion reconstruction succeeded to activate their finger flexion. All but 1 patient with reconstructed thumb flexion sucessfully activated their thumb flexion (n=40). Three weeks after surgery, all patients (100%) were able to perform basic activities of daily living, and instrumental activities of daily living were achieved by 74%. One year after surgery, the maximum grip strength in restored finger flexion was on average 6.9kg (range, 1.5-15kg; n=29). The maximum pinch strength in restored thumb flexion was on average 3.7kg (range, 1-20; n=29). On average, grip ability improved from 33 to 101 (n=19) according to the COPM. Prioritized activity limitations, as measured with the COPM, equated to an average of 3.5 steps (2.5 steps preoperatively to 6 steps postoperatively): Patients' perceived satisfaction with this improvement was 4 steps (increasing from 2 steps preoperatively to 6 steps postoperatively). Conclusions: Grip reconstructive surgery followed by early active rehabilitation can be considered a reliable procedure that leads to substantial improvements in grip and pinch strength and activity performance among patients with tetraplegia. (C) 2016 by the American Congress of Rehabilitation Medicine
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- 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
- upper-limb surgery
- flexor tendon repair
- mobilization
- people
- hand
- immobilization
- experiences
- transfers
- decision
- outcomes
- Rehabilitation
- Sport Sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Archives of Physical Medicine and Rehabilitation (Sök värdpublikationen i LIBRIS)
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