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Title: Predicting strength outcomes for upper limb nerve transfer surgery in tetraplegia.
Austin Authors: Stanley, Edward A;Hill, Bridget ;McKenzie, Dean P;Chapuis, Pierre;Galea, Mary P ;van Zyl, Natasha 
Affiliation: Department of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, VIC, Australia..
Research Development and Governance Unit, Epworth HealthCare, Richmond, VIC, Australia..
Department of Health Sciences and Biostatistics, Swinburne University of Technology, Hawthorn, VIC, Australia..
Victorian Spinal Cord Service
Plastic and Reconstructive Surgery
Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia..
Occupational Therapy
Rehabilitation Medicine Unit, Epworth HealthCare, Richmond, VIC, Australia..
Issue Date: 3-Aug-2022
Date: 2022
Publication information: The Journal of Hand Surgery, European Volume 2022; 47(11)
Abstract: We report a retrospective study of 112 nerve transfers in 39 participants to investigate predictors of strength outcomes after nerve transfer surgery for upper limb reanimation in tetraplegia. We measured clinical and pre- and intraoperative neurophysiological assessment variables and compared them with strength outcomes 2 years after nerve transfer surgery. We found statistically significant improvement in Medical Research Council strength grades after nerve transfer surgery with lower cervical spine injuries (between one and two grades), lower donor nerve stimulation thresholds (half of a grade), greater motor evoked potential activity in recipient nerves (half of a grade) and greater muscle responses to intraoperative stimulation of donor (half of a grade) and recipient nerves (half of a grade).Level of evidence: III.
DOI: 10.1177/17531934221113739
ORCID: 0000-0002-5819-4931
Journal: The Journal of hand surgery, European volume
PubMed URL: 35923066
PubMed URL:
Type: Journal Article
Subjects: Nerve transfer
spinal cord injury
Appears in Collections:Journal articles

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