Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16042
Title: Rehabilitation of supinator nerve to posterior interosseous nerve transfer in individuals with tetraplegia
Austin Authors: Hahn, Jodie ;Cooper, Catherine ;Flood, Stephen;Weymouth, Michael;van Zyl, Natasha 
Affiliation: Victorian Spinal Cord Service, Austin Health, Kew, VIC, Australia
Department of Plastic and Reconstructive Surgery, Austin Health, Heidelberg, VIC, Australia
Department of Occupational Therapy, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Jun-2016
Publication information: Archives of Physical Medicine and Rehabilitation 2016; 97(6 Suppl):S160-8.
Abstract: Despite being a routine part of the early surgical management of brachial plexus injury, nerve transfers have only recently been used as a reconstructive option for those with tetraplegia. Subsequently, there is limited published literature on the rehabilitation theories and techniques for optimizing outcomes in this population. This article seeks to address this void by presenting our centers' working model for rehabilitation after nerve transfers for individuals with tetraplegia. The model is illustrated with the example of the rehabilitation process after a supinator nerve to posterior interosseous nerve transfer. This nerve transfer reconstructs wrist, finger, and thumb extension. The topics covered in the model include the following: patient selection and presurgical planning/intervention, managing the postoperative healing phase of an individual who is wheelchair dependent, maximizing motor reeducation, increasing muscle strength, and ensuring use in functional tasks. This article provides a platform for further development and collaboration to improve the outcomes of patients who undergo nerve transfers after tetraplegia.
URI: http://ahro.austin.org.au/austinjspui/handle/1/16042
DOI: 10.1016/j.apmr.2016.01.038
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/27233591
Type: Journal Article
Subjects: Nerve transfer
Quadriplegia
Supination
Rehabilitation
Upper extremity
Appears in Collections:Journal articles

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