Upper extremity reconstruction in non-traumatic spinal cord injuries: An under-recognized opportunity

Fridén, Jan; Reinholdt, Carina; Wangdell, Johanna; Gohritz, Andreas

doi:10.2340/16501977-1235

Cited by 7 publications

(3 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…29 A number of papers have been published that describe technical aspects of safe surgical procedures, functional benefits and the importance of rehabilitation including early mobilization. 7, 8, 9, 10, 13 This study confirms previous results from patient-reported satisfaction surveys 17, 18, 19 indicating that surgery and rehabilitation is beneficial to the individual. Taking these findings into account, surgical restoration of upper limb function should be offered to all suitable candidates living with tetraplegia.…”

Section: Discussionsupporting

confidence: 86%

“…7 Advanced reconstruction of grip in tetraplegic patients is shown to improve upper-extremity performance, as well as supplying an increased level of independence and control in life. 8, 9, 10, 11, 12 Significant improvements in the basic activity of eating and more complex activities such as doing housework and taking part in leisure have also been shown. 11 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Satisfaction with upper limb reconstructive surgery in individuals with tetraplegia: the development and reliability of a Swedish self-reported satisfaction questionnaire

et al. 2017

Self Cite

View full text Add to dashboard Cite

Study design:A questionnaire-based survey.Objectives:To assess satisfaction after upper limb reconstructive surgery in individuals with tetraplegia and to determine the reliability of a Swedish satisfaction questionnaire.Setting:A center for advanced reconstruction of extremities, Gothenburg, Sweden.Methods:Seventy-eight individuals with tetraplegia were invited to participate in the survey assessing satisfaction with the result of surgery across various domains. Measures of reliability included stability and internal consistency of domains consisting questions regarding global satisfaction, activities and occupation/schooling.Results:Fifty-eight individuals (76%) participated, among whom 47 (82%) completed the questionnaire twice for repeatability assessment. The responses in the domains relating to global satisfaction, activities and occupation/schooling were positive in 83%, 72% and 31% of participants, respectively. Ninety-five percent felt they had benefited from the surgery, and 86% felt that the surgery had made a positive impact on their life. The psychometric testing indicated that the questionnaire yields scores that are reliable by both test–retest and internal consistency, with the exception of the domain occupation/schooling that had a high prevalence of missing and neutral responses and seemingly represents separate and distinct entities.Conclusion:Surgical rehabilitation of the upper limb in tetraplegia is highly beneficial and rewarding from a patient perspective, leading to satisfactory gains in activities of daily living as well as enhanced quality of life. The questionnaire is a reliable instrument for measuring satisfaction after surgery. However, occupationally and educationally related aspects of the surgical outcome should constitute separate domains, and further modifications of the questionnaire are thus recommended.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Satisfaction with upper limb reconstructive surgery in individuals with tetraplegia: the development and reliability of a Swedish self-reported satisfaction questionnaire

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Reconstructive surgery of the upper extremities using tendon transfer and joint stabilizations or, more recently, nerve transfer, has become an accepted part of rehabilitation of patients with cervical spinal cord injury (2,3). Numerous case series have demonstrated that key functions, such as elbow extension and handgrip can be restored reliably in individuals affected by traumatic or non-traumatic tetraplegia (4)(5)(6)(7)(8)(9)(10)(11). Consequently, the mobility, spontaneity and independence of tetraplegic individuals can be markedly and persistently increased (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%