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Göteborgs universitets publikationer

Rehabilitation After Spasticity-Correcting Upper Limb Surgery in Tetraplegia

Författare och institution:
Johanna Wangdell (Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för ortopedi); Jan Fridén (Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för ortopedi)
Publicerad i:
Archives of Physical Medicine and Rehabilitation, 97 ( 6 ) s. S136-S143
ISSN:
0003-9993
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
Objective: To describe the early active rehabilitation concept developed for spasticity-correcting surgery in tetraplegia and to report the outcomes in grip ability and change of performance and satisfaction in patients' prioritized activities 1 year postoperatively. Participants: All patients who underwent surgeries for correction of spasticity in tetraplegic hands between 2009 and 2013 in the studied unit (N=37). Interventions: Spasticity-correcting upper limb surgery with early active rehabilitation to restore grip ability in tetraplegia. Main Outcome Measures: Grasp and release test (GRT) and modified Canadian Occupational Performance Measure (COPM). Results: All patients could accomplish the early active rehabilitation concept. The complication rate related to the treatment was low. Compared with preoperatively, all evaluated individuals experienced improvements in grasp ability and activity performance and satisfaction at 1-year follow-up. The performance in prioritized activities, as measured by the COPM, improved by 2.6 scale steps. Satisfaction with performance improved 3.0 scale steps postoperatively (n=21). The grasp ability, measured by the GRT, improved significantly, from 80 preoperatively to 111 (n=10). Conclusions: The surgery, combined with the early active rehabilitation protocol, is a reliable and safe procedure. The ability to use the hand improved, and gains were maintained at least 1 year after surgery in all patients with respect to both the objective grasp ability and patients' subjective rating of their performance and satisfaction in their prioritized activities. The procedure should therefore be considered as an adjunct to other treatments of upper limb spasticity in spinal cord injury. (C) 2016 by the American Congress of Rehabilitation Medicine
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Idrottsvetenskap
Nyckelord:
Muscle spasticity, Quadriplegia, Reconstructive surgical procedures, Rehabilitation, Spinal cord, spinal-cord-injury, tendon transfer, hand, reconstruction, epidemiology, mobilization, decision, release, people, issues, Rehabilitation, Sport Sciences
Postens nummer:
238349
Posten skapad:
2016-06-27 13:25
Posten ändrad:
2016-06-27 13:25

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