Pinch and Elbow Extension Restoration in People With Tetraplegia: A Systematic Review of the Literature

Hamou, Cynthia; Shah, Nirav R.; DiPonio, Lisa; Curtin, Catherine

doi:10.1016/j.jhsa.2008.12.002

Cited by 76 publications

(47 citation statements)

References 42 publications

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“…The current literature describing clinical outcomes mainly consists of case reports. 10 Results mainly describe functional outcomes such as muscle strength and ADL skills. 11 There are limited data about patient satisfaction, activities and participation after reconstructive surgery in persons with tetraplegia.…”

Section: Introductionmentioning

confidence: 99%

Long-term patient satisfaction after reconstructive upper extremity surgery to improve arm–hand function in tetraplegia

et al. 2011

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Study design: There is a paucity of literature about satisfaction after reconstructive surgery to improve upper limb function in persons with tetraplegia. The present literature describes mainly functional outcomes. Objectives: To evaluate long-term satisfaction after reconstructive upper extremity surgery in persons with tetraplegia. Setting: Two rehabilitation centers in the Netherlands. Method: A three-part questionnaire consisting questions regarding satisfaction, activities, occupation, changes in functional ability and willingness to undergo the surgeries again was used. Internal reliability of the questionnaire was verified by factor analysis and calculation of Cronbach's alpha. Results: In total, 39 out of 55 persons (70.9%) participated in the study. The participants' responses to questions about satisfaction, activities and occupation were positive in 73.5, 67.6 and 35.0%, respectively. Nearly 81% improved their functional ability. Approximately 65% of the participants were willing to undergo elbow extension surgery again and 77.1% expressed their willingness to undergo hand/wrist surgery again. Significant positive correlation was found between willingness to have surgery again and improvement in activities and occupation: Spearman's correlation coefficients: activities-elbow extension 0.63 (P ¼ 0.003), activities-hand/wrist 0.57 (Po0.001), occupation-elbow extension 0.53 (P ¼ 0.025), occupation-hand/wrist 0.57 (P ¼ 0.001). Differences between the subgroups who would have surgery again and those who would refrain were also significant; one-way analysis of variance for activities (F ¼ 9.54, Po0.01) and for occupation (F ¼ 6.60, Po0.02). Conclusion: In the Netherlands, the majority of persons with tetraplegia who underwent reconstructive upper extremity surgery were satisfied with the results. This was related to improvement in activities and occupation.

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Section: Introductionmentioning

confidence: 99%

Long-term patient satisfaction after reconstructive upper extremity surgery to improve arm–hand function in tetraplegia

et al. 2011

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“…In Japan, Yamabe et al [4] reported the activities of daily living (ADL) of 28 patients with distal radius fracture; of 28 motions, opening a plastic bottle lid was difficult or impossible for 25/28 subjects (89%) and wringing out a rag was difficult or impossible for 20/28 subjects (71%). Thus, opening a plastic bottle lid was deemed as the most difficult motion to perform.…”

Section: Introductionmentioning

confidence: 99%

Strength Required for Opening Plastic Bottles in Individuals with Distal Radius Fracture

Saito¹,

Saito²

2017

Biol Med

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To estimate the hand function required to open a plastic bottle, we aimed to find out which factors are involved and to determine the cutoff value over the course of conservative therapy in patients with a distal radius fracture. In this case control study, outpatients who visited a single hospital and a single orthopedic surgery clinic were included. Fifty patients each were included in the open group (those able to open a plastic bottle) and non-open group (those unable to open a plastic bottle). Using a torque meter, the torque value required to open a plastic bottle was measured. We also examined the association between grip strength and pinch strength. We examined the function of the hand between two groups: an open group and non-open group. The period after injury (odds ratio [OR] 1.07, 0.02), pain (OR 1.68, p=0.018), grip strength of the affected hand (OR 1.50, p=0.001), pinch strength of the affected hand (OR 1.12, p=0.001), and torque value (OR 1.74, p=0.001) were identified in logistic regression analysis as predictive factors for the openness of a plastic bottle. The receiver operating characteristic curve showed the cutoff values of the affected hand for predicting the ability to open a plastic bottle in terms of the period after injury (28.5 days), pain (1.53), e grip strength of the affected hand (20.5 kg), pinch strength of the affected hand (4.5 kg), and torque value (95 N-cm). We found that three factors are significantly involved in the ability of a patient with a distal radius fracture to open a plastic bottle, and it was possible to obtain a cutoff value for each factor. These values are suggested to be goals in promoting rehabilitation.

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“…The benefits of these procedures are acknowledged by both surgeons and people with tetraplegia as improving function and independence with activities of daily living. 2 Experts in this field estimate that more than half of the tetraplegic population could benefit from some form of upper limb surgical procedure. 3,4 Uptake of upper limb surgery is variable and in the United States, an estimated 7% of the eligible population undergo surgery.…”

Section: Introductionmentioning

confidence: 99%

“…This makes it difficult for physicians and health professionals to summarize useful information from the literature for patients and even more difficult for patients to find this information for themselves. 2,7 There is a paucity of data on SCI in New Zealand (NZ) because of the lack of a national SCI register, although it seems the rate of SCI in NZ men is three times higher than in women and in men between 15 and 29 years accounting for 46% of all SCI cases. 8 Motor vehicle accidents and falls account for the majority of injuries.…”

Section: Introductionmentioning

confidence: 99%

Upper limb reconstructive surgery uptake for persons with tetraplegia in New Zealand: a retrospective case review 2001–2005

Dunn

Hay‐Smith²,

Whitehead

et al. 2010

Spinal Cord

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Study design: Retrospective case series. Objective: To describe the uptake of upper limb surgery by individuals with tetraplegia in New Zealand (NZ). Setting: New Zealand. Methods:The clinical notes of all individuals who sustained a cervical spinal cord injury between 1 January 2001 and 31 December 2005 were retrospectively reviewed for those who met the clinical criteria to undergo upper limb surgery. Cases were cross-referenced to the hand surgery record to determine the uptake of upper limb surgery in this cohort. Results: The uptake of upper limb surgery for people with tetraplegia in NZ was 44% of the eligible cohort and 59% of those assessed for surgery. This is notably higher than the reported proportion in other developed countries. The data also suggested that women and those who identified as NZ Maori were less likely to undergo upper limb surgery than were men and those of NZ European ethnicity. Conclusion: Utilization of upper limb surgery in the eligible tetraplegic population in NZ was high. However, it seemed that some groups were less likely to undergo surgery. Further research into the factors that affect an individual's decision to undergo upper limb surgery could explain the observed pattern.

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Pinch and Elbow Extension Restoration in People With Tetraplegia: A Systematic Review of the Literature

Cited by 76 publications

References 42 publications

Long-term patient satisfaction after reconstructive upper extremity surgery to improve arm–hand function in tetraplegia

Long-term patient satisfaction after reconstructive upper extremity surgery to improve arm–hand function in tetraplegia

Strength Required for Opening Plastic Bottles in Individuals with Distal Radius Fracture

Upper limb reconstructive surgery uptake for persons with tetraplegia in New Zealand: a retrospective case review 2001–2005

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