Enhanced early sensory outcome after nerve repair as a result of immediate post-operative re-learning: a randomized controlled trial
| Autor: | S Turner, Ton A.R. Schreuders, Birgitta Rosén, Duncan A. McGrouther, Pernilla Vikström, Anders Björkman, Ruud W. Selles |
|---|---|
| Přispěvatelé: | Rehabilitation Medicine |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Formative Feedback medicine.medical_treatment Sensory system Outcome (game theory) law.invention Young Adult Physical medicine and rehabilitation Randomized controlled trial Feedback Sensory Peripheral Nerve Injuries law medicine Humans Prospective Studies Nerve repair Ulnar nerve Ulnar Nerve Aged Neuronal Plasticity Rehabilitation business.industry Recovery of Function Evidence-based medicine Middle Aged Median Nerve Treatment Outcome medicine.anatomical_structure Touch Female Surgery business Follow-Up Studies Reinnervation |
| Zdroj: | Journal of Hand Surgery-European Volume, 40(6), 598-606. SAGE Publications Ltd |
| ISSN: | 1753-1934 |
| Popis: | We assessed the use of guided plasticity training to improve the outcome in the first 6 months after nerve repair. In a multicentre randomized controlled trial, 37 adults with median or ulnar nerve repair at the distal forearm were randomized to intervention, starting the first week after surgery with sensory and motor re-learning using mirror visual feedback and observation of touch, or to a control group with re-learning starting when reinnervation could be detected. The primary outcome at 3 and 6 months post-operatively was discriminative touch (shape texture identification test, part of the Rosen score). At 6 months, discriminative touch was significantly better in the early intervention group. Improvement of discriminative touch between 3 and 6 months was also significantly greater in that group. There were no significant differences in motor function, pain or in the total score. We conclude that early re-learning using guided plasticity may have a potential to improve the outcomes after nerve repair. Level of evidence: II |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|