CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR

Autor: J. P. A. Nicolai, J. H. Coert, M. W. Stenekes, de Bauke Jong, A. M. J. Paans
Přispěvatelé: Plastic and Reconstructive Surgery and Hand Surgery
Rok vydání: 2009
Předmět:
Male
Flexor tendon repair
tendon
medicine.medical_treatment
BRAIN PLASTICITY
Metacarpophalangeal Joint
ACTIVATION
Postoperative Complications
BASAL GANGLIA
Finger Injuries
Neural Pathways
Range of Motion
Articular
Stroke
COORDINATION
AMPUTATION
Brain
Middle Aged
RECOVERY
musculoskeletal system
Magnetic Resonance Imaging
Tendon
medicine.anatomical_structure
Splints
medicine.symptom
STROKE
Muscle Contraction
Adult
musculoskeletal diseases
medicine.medical_specialty
CORTEX
injury
NERVE TRANSFERS
Young Adult
Physical medicine and rehabilitation
Tendon Injuries
Evoked Potentials
Somatosensory
medicine
Humans
Dominance
Cerebral
Muscle
Skeletal
Physical Therapy Modalities
relearning
flexor
MOVEMENTS
Electromyography
business.industry
Motor control
Pet imaging
medicine.disease
Nerve Regeneration
Surgery
Amputation
Regional Blood Flow
Positron-Emission Tomography
Joint stiffness
Orthopedic surgery
cerebral
business
Zdroj: Journal of Hand Surgery (European volume), 34E(4), 444-448. SAGE Publications Inc.
Journal of Hand Surgery-European Volume, 34E(4), 444-448. SAGE Publications Ltd
ISSN: 1753-1934
Popis: After flexor tendon injury, most attention is given to the quality of the tendon repair and postoperative early passive dynamic mobilisation. Schemes for active mobilisation have been developed to prevent tendon adhesions and joint stiffness. This paper describes five patients to demonstrate the cerebral consequences of immobilisation allowing only passive movements, which implies a prolonged absence of actual motor commands. At the end of such immobilisation, PET imaging revealed reduced blood flow in specific motor areas, associated with temporary loss of efficient motor control. Effective motor control was regained after active flexion exercises which was reflected in normalised cerebral activations. This suggests that temporary, reversible cerebral dysfunction may affect the outcome of flexor tendon injuries.
Databáze: OpenAIRE
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