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Novel concepts integrated in neuromuscular assessments for surgical restoration of arm and hand function in tetraplegia

FRIDEN J; GOHRITZ A
PHYS MED REHABIL CLIN N AM , 2012, vol. 23, n° 1, p. 33-50
Doc n°: 156280
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmr.2011.11.002
Descripteurs : AE2 - PARAPLEGIE-TETRAPLEGIE, DD46 - TRAITEMENTS - BRAS, DD86 - TRAITEMENTS - MAIN-DOIGTS

Surgical restoration of key functions of the upper extremity has tremendous
potential to increase autonomy, mobility, and self-esteem by resuming critical
abilities in patients with tetraplegia. New strategies of surgical reconstruction
and postoperative rehabilitation of upper extremity function in tetraplegic
patients have been developed, based on basic science and clinical studies. In
contrast to traditional hand reconstruction with separate flexors and extensors
phases, combining 7 individual procedures provides key pinch and finger flexion
together with passive opening of hand in one stage. Further research should aim
at combining traditional algorithms with new approaches, such as immediate
postoperative activation, combined procedures and nerve transfers.
CI - Copyright (c) 2012 Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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