Document Detail


Early compensatory sensory re-education.
MedLine Citation:
PMID:  12632309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After a neurorrhaphy, there will be a distal disconnection between the cortex and skin receptors, along with interruption of sensibility information. This report demonstrates the efficacy of a new sensory re-education program for achieving optimal sensation in a relatively short time. Between 1999 and 2001, in the authors' Hand Rehabilitation Department, 11 patients with previous neurorrhaphy were subjected to a program of early "compensatory sensory re-education." Lesions were caused by clean cut. There were 13 primary digital nerve procedures, 12 at the distal palmar MP level, and one at the radial dorsal branch of the index (just after emerging from the common digital nerve). The technique of compensatory sensory re-education was based on a previous, but modified, sensory re-education method. In order to evaluate the results in the compensatory sensory re-education series described, additional tests for evaluation of achieved functional sensibility were used. The authors' best results were achieved in a maximum of 8 weeks (4-8 weeks), much less time than with the original method (1-2 years). Using the British classification, it was possible to compare the achieved levels of sensibility and the time required for optimal results. The different methods of sensibility re-education may be similar, but with the authors' compensatory sensory re-education method, substantial time is saved.
Authors:
Hugo R Daniele; Leda Aguado
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  19     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-12     Completed Date:  2003-06-05     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  107-10; discussion 111-2     Citation Subset:  IM    
Affiliation:
Department of Hand Surgery, Spanish Hospital, Bahía Blanca, Argentina. hugo-dan@datamarkets.com.ar
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cohort Studies
Female
Finger Injuries / surgery*
Fingers / innervation
Follow-Up Studies
Humans
Male
Middle Aged
Nerve Regeneration / physiology
Nerve Transfer / adverse effects*,  methods
Occupational Therapy / methods*
Peripheral Nervous System Diseases / etiology,  rehabilitation*
Prospective Studies
Sensation Disorders / rehabilitation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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