Rehabilitation of the hand in tetraplegics

Annals of the Royal College of Surgeons of England, 1981 · DOI: · Published: January 1, 1981

Spinal Cord Injury Surgery Rehabilitation

Simple Explanation

This paper presents the results of hand rehabilitation in tetraplegic patients, aiming to increase their independence in daily activities. The goal is to enable patients to perform tasks like holding a pen or spoon and gripping their wheelchair by providing a pinch grip through tendon transfer. Tendon transfer is not suitable for all paralyzed patients but for a select group with specific residual functions.

Study Duration

4 years

Participants

50 tetraplegic patients

Evidence Level

Not specified

Key Findings

1
Tendon transfer to provide pinch grip can significantly improve independence and social rehabilitation in tetraplegic patients.
2
Active wrist extension without contracture is a critical factor for successful tendon transfer outcomes.
3
Postoperative management, including physiotherapy and specific exercises, is crucial for the patient to regain hand function.

Research Summary

This paper discusses the rehabilitation of hand function in tetraplegic patients through tendon transfer surgery performed at a spinal cord injury center. The study highlights the importance of careful patient selection, preoperative rehabilitation, and postoperative physiotherapy to achieve optimal outcomes. Results showed that tendon transfer improved independence in a majority of the operated patients, enabling them to perform daily tasks more easily.

Practical Implications

Improved Patient Independence

Tendon transfer can significantly enhance the independence of tetraplegic patients, allowing them to perform daily tasks without constant assistance.

Enhanced Social Rehabilitation

Increased hand function can facilitate better social integration and participation in activities, improving the overall quality of life for patients.

Optimized Rehabilitation Programs

The study emphasizes the need for comprehensive rehabilitation programs, including physiotherapy and occupational therapy, to maximize the benefits of tendon transfer surgery.

Rehabilitation of the hand in tetraplegics

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Patient Independence

Enhanced Social Rehabilitation

Optimized Rehabilitation Programs

Study Limitations

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Rehabilitation of the hand in tetraplegics

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Patient Independence

Enhanced Social Rehabilitation

Optimized Rehabilitation Programs

Study Limitations

Your Feedback

Was this summary helpful?