scholarly journals Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

10.3791/62896 ◽  
2021 ◽  
Author(s):  
Agnes Sturma ◽  
Laura A. Hruby ◽  
Anna Boesendorfer ◽  
Clemens Gstoettner ◽  
Dario Farina ◽  
...  
Keyword(s):  
Upper Limb ◽  
Nerve Transfers ◽  
Therapy Interventions

scholarly journals Current therapy for the upper limb after stroke: a cross-sectional survey of UK therapists

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030262 ◽  
Author(s):  
Rachel Stockley ◽  
Rosemary Peel ◽  
Kathryn Jarvis ◽  
Louise Connell
Keyword(s):  
Upper Limb ◽  
Online Survey ◽  
Current Therapy ◽  
Future Research ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Constraint Induced Movement Therapy ◽  
Therapy Interventions ◽  
The Uk

ObjectivesTo survey the reported content, frequency and duration of upper limb treatment provided by occupational and physiotherapists for people after stroke in the UK.DesignA cross-sectional online survey was used. Description and analysis of the data were based on items from the Template for Intervention Description and Replication (Who, Where, What and How much).SettingThe online survey was distributed via professional and social networks to UK-based therapists.ParticipantsRespondents were occupational or physiotherapists currently working clinically in the UK with people after stroke. Over the 6 week data collection period, 156 respondents opened the survey, and 154 completed it. Respondents comprised 85 physiotherapists and 69 occupational therapists.ResultsRespondents reported treating the upper limb a median of three times a week (range: 1 to 7) for a mean of 29 min (SD: 18). Most (n=110) stated this was supplemented by rehabilitation assistants, family and/or carers providing additional therapy a median of three times a week (range 1 to 7). Functional training was the most commonly reported treatment for people with mild and moderate upper limb deficits (>40%). There was much less consistency in treatments reported for people with severe upper limb deficits with less than 20% (n=28) reporting the same treatments.ConclusionsThis study provides a contemporaneous description of reported therapy in the UK for people with upper limb deficits after stroke and a detailed template to inform standard therapy interventions in future research. Several evidence-based therapies were reported to be used by respondents (eg, constraint induced movement therapy), but others were not (eg, mental imagery). The findings also highlight that the current reported provision of upper limb therapy is markedly less than what is likely to be effective. This underlines an urgent need to configure and fund services to empower therapists to deliver greater amounts of evidence-based treatment for people with upper limb deficits after stroke.

scholarly journals Morphology of Donor and Recipient Nerves Utilised in Nerve Transfers to Restore Upper Limb Function in Cervical Spinal Cord Injury

2016 ◽  
Vol 6 (4) ◽  
pp. 42 ◽  
Author(s):  
Aurora Messina ◽  
Natasha Van Zyl ◽  
Michael Weymouth ◽  
Stephen Flood ◽  
Andrew Nunn ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Upper Limb ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Limb Function ◽  
Upper Limb Function ◽  
Nerve Transfers ◽  
Cord Injury

Expanding traditional tendon-based techniques with nerve transfers for the restoration of upper limb function in tetraplegia: a prospective case series

The Lancet ◽  
2019 ◽  
Vol 394 (10198) ◽  
pp. 565-575 ◽  
Author(s):  
Natasha van Zyl ◽  
Bridget Hill ◽  
Catherine Cooper ◽  
Jodie Hahn ◽  
Mary P Galea
Keyword(s):  
Upper Limb ◽  
Case Series ◽  
Limb Function ◽  
Upper Limb Function ◽  
Nerve Transfers ◽  
Prospective Case Series

scholarly journals Hands-On Therapy Interventions for Upper Limb Motor Dysfunction After Stroke

Stroke ◽  
2012 ◽  
Vol 43 (1) ◽  
Author(s):  
Jacqueline Winter ◽  
Susan M. Hunter ◽  
Julius Sim ◽  
Peter Crome
Keyword(s):  
Upper Limb ◽  
Motor Dysfunction ◽  
Hands On ◽  
Therapy Interventions

Nerve transfers for peripheral nerve injury in the upper limb

2019 ◽  
Vol 101-B (2) ◽  
pp. 124-131 ◽  
Author(s):  
J. Isaacs ◽  
A. R. Cochran
Keyword(s):  
Peripheral Nerve ◽  
Nerve Injury ◽  
Upper Limb ◽  
Nerve Repair ◽  
Nerve Transfer ◽  
Elbow Flexion ◽  
Axillary Nerve ◽  
Nerve Transfers ◽  
Sensory Recovery ◽  
Potential Benefits

Nerve transfer has become a common and often effective reconstructive strategy for proximal and complex peripheral nerve injuries of the upper limb. This case-based discussion explores the principles and potential benefits of nerve transfer surgery and offers in-depth discussion of several established and valuable techniques including: motor transfer for elbow flexion after musculocutaneous nerve injury, deltoid reanimation for axillary nerve palsy, intrinsic re-innervation following proximal ulnar nerve repair, and critical sensory recovery despite non-reconstructable median nerve lesions.

Upper limb nerve transfers: A review

2017 ◽  
Vol 36 (3) ◽  
pp. 151-172 ◽  
Author(s):  
A. Forli ◽  
M. Bouyer ◽  
M. Aribert ◽  
C. Curvale ◽  
M. Delord ◽  
...  
Keyword(s):  
Upper Limb ◽  
Nerve Transfers

scholarly journals Evidence for efficacy of new developments in reconstructive upper limb surgery for tetraplegia

2019 ◽  
Vol 45 (1) ◽  
pp. 43-50
Author(s):  
James P. Ledgard ◽  
Claudia R. Gschwind
Keyword(s):  
Upper Limb ◽  
Elbow Extension ◽  
New Developments ◽  
Nerve Transfers ◽  
Upper Limb Surgery ◽  
Improved Function ◽  
Function Activity ◽  
Flexion And Extension ◽  
Hand Opening

Nerve transfers are increasingly utilized for upper limb reconstruction in tetraplegia. We reviewed the literature for results achieved by nerve transfers for elbow extension, wrist control and finger and thumb flexion and extension. Muscle strength grading was the only outcome measure consistently reported. The results confirm that nerve transfers can effectively reanimate muscles in selected cases, with comparable strength with those achieved with tendon transfer for elbow extension but inferior strength for finger and thumb flexion. Transfer of supinator nerve branches to the posterior interosseous nerve appears to be reliable and offers increased span and better hand opening than is observed after tendon transfers. Only one publication demonstrated how reinnervation of muscles with nerve transfers translated into improved function, activity and participation for patients. More prospective studies, using standardized outcome measures, are needed to define the precise role of nerve transfers.

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