Activity gains after upper limb surgery for spasticity in patients with spinal cord injury

The Journal of Hand Surgery, European Volume
J WangdellJ Fridén

Abstract

Spasticity is a common and increasingly prevalent secondary complication of spinal cord injury. The aim of the study was to evaluate patient-experienced gains in prioritized activities after surgery to reduce the effects of spasticity in upper limbs in tetraplegia. The study includes evaluation of 30 operations for 27 patients performed on hypertonic tetraplegic hands during 2007-2015 using the Canadian Occupational Performance Measure. Activity performance increased at both 6 months and 12 months by a mean of 3.0 and 2.9 points, respectively. Satisfaction increased by 3.3 and 3.4, respectively. All types of activities improved, with wheelchair manoeuvring as one of the highest rated. The intervention increased prioritized activity performance and persisted at least 12 months after surgery. Patients with mild upper limb impairment showed greater improvement after surgery. After operation, patients were able to perform 71% of their prioritized activities, which they could not perform before. Patients' satisfaction with the performance was high. IV.

References

Dec 22, 1999·Archives of Physical Medicine and Rehabilitation·C SköldA Seiger
Apr 20, 2005·Spinal Cord·M M Adams, A L Hicks
Nov 14, 2008·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Kimberly A WesdockChester Sharps
May 23, 2009·Developmental Medicine and Child Neurology·Judith C van MunsterMijna Hadders-Algra
Apr 18, 2013·Disability and Rehabilitation·Johanna WangdellJan Fridén
Dec 23, 2015·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Adil ShaikhChris Boulias
Mar 5, 2016·Journal of Rehabilitation Medicine·Martin W G BrinkhofUNKNOWN SwiSCI Study Group
May 29, 2016·Archives of Physical Medicine and Rehabilitation·Johanna Wangdell, Jan Fridén

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Citations

Apr 28, 2020·The Journal of Hand Surgery, European Volume·Ulla BergfeldtCarina Reinholdt
Jul 15, 2021·The Journal of Hand Surgery, European Volume·Jan FridénNatasha van Zyl

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