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Improvement of urological-management abilities in individuals with tetraplegia by reconstructive hand surgery
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KIYONO Y; HASHIZUME C; OHTSUKA K
SPINAL CORD , 2000, vol. 38, n° 9, p. 541-545 Doc n°: 97617 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : DD1 - MEMBRE SUPERIEUR DANS SON ENSEMBLE, AE2 - PARAPLEGIE-TETRAPLEGIE Url : http://www.nature.com/sc/archive/index.html 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. Langue : ANGLAIS Identifiant basis : 2000213543 |
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