Improvement of upper limb function with respect to urination techniques in quadriplegia

Hashizume, C; Fukui, Jun

doi:10.1038/sc.1994.60

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…Other authors have already found that patients need a strong key grip to perform ISC themselves. 15 We have found a statistical difference between the two groups for this outcome measure. None of the 'ISC-primary failure' patients could reach a key-grip value after an ULR of 0.5 kg (mean value being 0.28 kg), whereas 0.5 kg was the lowest score achieved in the ISC þ group (mean 1.8 kg).…”

Section: Self-catheterization After Hand Reanimation B Bernuz Et Almentioning

confidence: 63%

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Self-catheterization acquisition after hand reanimation protocols in C5–C7 tetraplegic patients

et al. 2010

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Study design: Case series from a prospectively acquired database and phone survey. Objectives: To assess the efficacy of upper limb reanimation (ULR) protocols on acquisition of intermittent self-catheterization (ISC) in C5-C7 ASIA tetraplegic patients. Setting: University Hospital, Paris, France. Methods: A prospectively acquired database of 152 tetraplegic patients followed in ULR consultation between 1997 and 2008 in a rehabilitation unit was studied. A total of 20 patients met the inclusion criteria, which mainly were traumatic C5-C7 tetraplegic adult patients who were unable to perform ISC, and who benefited from ULR with the objectives of improving hand abilities and of ISC acquisition, through urethral orifice for males or via a continent urinary stoma for females. The main outcome measure was ISC acquisition (ISC þ ) proportion. Population characteristics and secondary outcome measures: ISC þ /ISCÀ patients were compared regarding epidemiological and surgical data, key-grip strength, patient global improvement score, activities of daily living and quality of life (PGI-I, Wuolle questionnaire, verbal rating scale). Results: ISC þ was 75%. It depended on key-grip strength (Po0.05) and led to a statistically significant improvement of urinary status compared with ISCÀ patients (Po0.01). ULR improved patients' abilities and QoL in both ISC þ and ISCÀ patients. Conclusion: ULR protocols allow ISC in most C5-C7 tetraplegic patients. Multidisciplinary care with surgeons and PRM physicians improves patients' vital and functional prognosis by changing their urological-management method.

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Section: Self-catheterization After Hand Reanimation B Bernuz Et Almentioning

confidence: 63%

“…13,14 To our knowledge, the contribution of ULR to the acquisition of ISC has not been specifically addressed in the literature in traumatic tetraplegics. 9,15 The objective of our study was to assess the efficacy of ULR protocols on acquisition of ISC in tetraplegic C5-C7 ASIA patients.…”

Section: Introductionmentioning

confidence: 99%

Self-catheterization acquisition after hand reanimation protocols in C5–C7 tetraplegic patients

et al. 2010

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“…A previous study of ours 14 indicated that C6B1/ C6B2 and C6B3/C7A patients (Zancolli's classification; Table 3) could maintain ileal conduit formation independently after reconstructive hand surgery. This surgery is also recommended for tetraplegic people who need an ileal conduit for urological management.…”

Section: Discussionmentioning

confidence: 99%

“…However, many tetraplegic patients with inadequate hand function depend on family members or care attendants for assisted catheterization. 7,13 At the Nagano Rehabilitation Center, reconstructive hand surgery has been performed since 1977 14 in suitable tetraplegic patients to increase their independence in terms of ADL and urological management.…”

Section: Introuductionmentioning

confidence: 99%

Improvement of urological-management abilities in individuals with tetraplegia by reconstructive hand surgery

Kiyono

Hashizume²,

Ohtsuka³

et al. 2000

Spinal Cord

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Objective: To evaluate whether reconstructive hand surgery could improve the ability of tetraplegic patients to perform clean intermittent self-catheterization (CIC). Materials and methods: The subjects were patients with complete traumatic tetraplegia admitted to the Nagano Rehabilitation Center between 1977 and 1996. A total of 63 subjects were included in this study with an age range of 18 ± 73 years (mean 38.2 years). Reconstructive hand surgery was performed on 44 hands (28 cases). Current urological conditions were assessed by interview or mail questionnaire. Results: Fifty-one per cent (22/43) of the patients with C6 level of tetraplegia and 86% (12/ 14) of those with C7 or C8 neurological level of injury could perform CIC independently and only one subject needed assisted CIC. Conclusion: CIC is the preferred option for people with tetraplegia. Reconstructive hand surgery is thus recommended to make urological management more independent for a selected group of people with tetraplegia. Spinal Cord (2000) 38, 541 ± 545

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“…2,17,32,[42][43][44] Therefore, we are interested in a rehabilitation outcome measure that also indicates the effectiveness of treatment in terms of gained and lost activities important in the daily life of the patient.…”

Section: Introductionmentioning

confidence: 99%

Tetraplegia Hand Activity Questionnaire (THAQ): the development,assessment of arm–hand function-related activities in tetraplegic patients with a spinal cord injury

et al. 2004

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Study design: Development of Tetraplegia Hand Activity Questionnaire (THAQ). Setting: Patients and spinal cord injury (SCI) professionals from five rehabilitation centres in the Netherlands and Belgium. Objective: To construct a disease-specific questionnaire to evaluate interventions to the armhand of tetraplegics in terms of gained and lost activities relevant to the patient. Methods: All arm-hand function-related activities were inventoried by examining existing scales and interviewing spinal cord injury patients and professionals in the field. Subsequently, item reduction was achieved; first, in the technical construction by incorporating all activities in an item list, then reducing the list by selecting the items most likely to be sensitive to change after surgical or functional electro stimulation interventions on the arm-hand as judged by an expert panel, using a Delphi method. Results: The arm-hand-related activity inventory comprised 652 activities. The technical construction of the items and the Delphi procedure resulted in a questionnaire with 153 items. The experts considered many of the 'new' activities more relevant for the evaluation of hand function interventions than those found in scales studied in the literature. This is reflected in a relatively large proportion of new activities (69%) for the item list of the THAQ, and even more in the domains work/admin/telecom (88%) and leisure (100%). Conclusion:The questionnaire constructed to assess hand function-related activities contains relevant activities to evaluate arm-hand function-related interventions for tetraplegic SCI patients.

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Improvement of upper limb function with respect to urination techniques in quadriplegia

Cited by 4 publications

References 3 publications

Self-catheterization acquisition after hand reanimation protocols in C5–C7 tetraplegic patients

Self-catheterization acquisition after hand reanimation protocols in C5–C7 tetraplegic patients

Improvement of urological-management abilities in individuals with tetraplegia by reconstructive hand surgery

Tetraplegia Hand Activity Questionnaire (THAQ): the development,assessment of arm–hand function-related activities in tetraplegic patients with a spinal cord injury

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