Upper-limb surgery for tetraplegia

Abstract

Violence 1 team which included two upper-limb surgeons, a paraplegist and a hand therapist. The assessment variables included muscle charts (MRC scale), joint mobility, spasm, sensation, motivation and functional requirements. A retrospective review of muscle and sensation charts made it possible to classify 69 of the 84 hands that had had surgery (Table II) according to the international

Improvements in activities of daily living following functional hand surgery for treatment of lesions to the cervical spinal cord: Self-assessment by patients

“…Lamb and Chan 2 report 27 complications in a series of 41 patients, Mohammed et al, 9 27 complications in 57 patients, and Vanden Berghe, 5 seven complications in 13 patients. In the present study too, 12 complications were observed in nine of the 22 patients.…”

“…1 ± 15 It is rare, however, for authors to give any details on how such measures a ect activities of daily living (ADL) or how patients themselves feel about the results. 2,5,9 The papers on the e cacy of implanted neuroprostheses 12 ± 15 were the ®rst to give any detailed information on ADL and patient satisfaction levels. The object of the present study is to illustrate the e cacy of this functional surgery in the upper extremities of tetraplegic patients by reporting what ADL patients were able to complete without help from others before and after such surgery and how the patients themselves assess the results.…”

The role of upper limb surgery in tetraplegia

“…Although we measured the strength of the key-pinch and the grasp we have focused our attention on the functional and psychological results of the surgery, that is to say on the improvement of the performance of the ADL, on the patients' satisfaction, and on the ful®lment of their expectations. These last two items are included in the Mohammed et al scale 18 but we thought it was worthwhile to consider them separately.…”

Use of the ICF conceptual framework to interpret hand function outcomes following tendon transfer surgery for tetraplegia

“…21 However, none of the versions of the WHO framework have been used to interpret the different levels of functioning or to consider the clinical usefulness of the measures used specifically for a group of persons who are greater than 10 years post-surgery. Consideration of the ICIDH-2 12 in relation to QoL ( Figure 3) provided the opportunity for consideration of the results of the study described in this commentary, across three different levels of functioning.…”