Nerve transfer rehabilitation in tetraplegia: Comprehensive assessment and treatment program to improve upper extremity function before and after nerve transfer surgery, a case report
| Autor: | Aida Barrera-Ortiz, Ana Valeria Aguirre-Güemez, Mario Mendoza-Muñoz, Jimena Quinzaños-Fresnedo, Gabriela Jiménez-Coello, Ramiro Pérez-Zavala, Gerald Martín Rhoades-Torres |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Traumatic spinal cord injury medicine.medical_treatment Case Reports Quadriplegia Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Nerve Transfer Tetraplegia Spinal Cord Injuries Rehabilitation business.industry Recovery of Function medicine.disease Functional independence Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | J Spinal Cord Med |
| ISSN: | 2045-7723 1079-0268 |
| DOI: | 10.1080/10790268.2019.1660841 |
| Popis: | CONTEXT: A 28-year-old male, sustained a traumatic Spinal Cord Injury (SCI) in January 2015, and was classified as AIS A, neurological level of injury (NLI) C4. As an inpatient at the SCI rehabilitation unit, he underwent multidisciplinary assessment involving SCI specialists, peripheral nerve surgeons, psychologists, occupational and physical therapists. Team consensus determined he was a candidate for nerve transfer surgery to improve upper extremity function. The patient undertook a pre-surgical neurorehabilitation program of 3 months duration. Surgery was performed bilaterally at 11 and 13 months after SCI (right and left arm respectively). FINDINGS: Upon completion of surgical procedures, the patient underwent an intensive post-surgical rehabilitation program based on established goals, with follow-up every 3 months, up to 24 months after the surgery. Notable improvements were wheelchair propulsion, the ability to relieve pressure, grasp, pinch, and release an object. Standardized measures for SCI individuals (SCIM-III, CUE-Q, LiSAT-9 and UEMS) showed significant improvements. CLINICAL RELEVANCE: Nerve transfers in tetraplegia are an underused technique. The benefits of surgery along with an intensive neurorehabilitation program, can improve independence and function in daily living activities for a properly selected group of individuals. |
| Databáze: | OpenAIRE |
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