Novel Concepts Integrated in Neuromuscular Assessments for Surgical Restoration of Arm and Hand Function in Tetraplegia - 11/01/12
, Andreas Gohritz, MD c
Corresponding author. Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital, Sahlgrenska Academy at University of Gothenburg, Bruna Stråket 11, SE-413 45 Göteborg, Sweden.Résumé |
Surgical restoration of key functions of the upper extremity has tremendous potential to increase autonomy, mobility, and self-esteem by resuming critical abilities in patients with tetraplegia. New strategies of surgical reconstruction and postoperative rehabilitation of upper extremity function in tetraplegic patients have been developed, based on basic science and clinical studies. In contrast to traditional hand reconstruction with separate flexors and extensors phases, combining 7 individual procedures provides key pinch and finger flexion together with passive opening of hand in one stage. Further research should aim at combining traditional algorithms with new approaches, such as immediate postoperative activation, combined procedures and nerve transfers.
Le texte complet de cet article est disponible en PDF.Keywords : Tetraplegia, Spinal cord injury, Tendon transfer, Novel concepts, Immediate activation, Combined procedure, Nerve transfer
Plan
| Funding for this project was provided by the Swedish Research Council Grant 11200, University of Gothenburg and Sahlgrenska University Hospital. |
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| The authors have no financial disclosures. |
Vol 23 - N° 1
P. 33-50 - février 2012 Retour au numéro
Article précédent
- The Utility of Electromyography and Mechanomyography for Assessing Neuromuscular Function: A Noninvasive Approach
- Moh H. Malek, Jared W. Coburn
- The Effects of Active and Passive Stretching on Muscle Length
- Danny A. Riley, J.M. Van Dyke
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