Austin Health

Title
Improving hand function after spinal cord injury.
Publication Date
2022
Author(s)
Fridén, Jan
House, James
Keith, Michael
Schibli, Silvia
van Zyl, Natasha
Subject
Spinal cord injury
hand surgery
intrinsics
nerve transfer
neuromodulation
neuroprotheses
spasticity
tendon transfer
Type of document
Journal Article
OrcId
0000-0002-4270-129X
DOI
10.1177/17531934211027460
Abstract
Nerve transfer surgery has expanded reconstructive options for restoring upper extremity function following spinal cord injury. By adding new motor donors to the pool already available through tendon transfers, the effectiveness of treatment should improve. Planning which procedures and in which order to perform, along with their details must be delineated. To meet these demands, refined diagnostics are needed, along with awareness of the remaining challenges to restore intrinsic muscle function and to address spasticity and its consequences. This article summaries recent advances in surgical reanimation of upper extremity motor control, together with an overview of the development of neuro-prosthetic and neuromodulation techniques to modify recovery or substitute for functional losses after spinal cord injuries.
Link
Citation
The Journal of hand surgery, European volume 2022; 47(1): 105-116
Jornal Title
The Journal of Hand Surgery, European Volume

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