| Possible restorations of the upper extremity motion in tetraplegic patients - 5-year clinical experience. | |
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MedLine Citation:
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PMID: 17426799 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: The aim of the work is to objectify the functional effectiveness of these operations and their influence on the quality of life of handicapped patients. METHOD: The authors evaluate the results of reconstructive surgery restoring hand grip in a group of 15 tetraplegic patients (3 women and 12 men) with complete spinal cord lesion of C5-C7 segments. The average age of patients in the group is 33 (22-50) years old. The reconstructions were performed using tendon transfer and tenodesis in the forearm and hand area. The effectiveness of the transfer was assessed objectively with regard to muscle strength by measuring the restored "thumb-index finger" grip and "into fist" grip. The range of motion achieved was also evaluated. Transfer effectiveness was evaluated on the basis of subjective patients' evaluation. An ADL (activities of daily living) questionnaire by Mohammed's (1992) took into account the effect of the surgery in a whole range of common daily activities. RESULTS: An extended range of daily activities was evident mainly in the fields of: communication, eating and drinking and operations associated with increase in general selfcare of the patient. There was no deterioration of condition in any of the activities. CONCLUSIONS: Up to 80 % of tetraplegic patients are suitable candidates for transfers and, to a certain extent, it is possible to improve the upper limb function. In a partial function restoration of the upper limbs there is immense potential for improvement in the quality of life of these patients. |
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Authors:
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Igor Cizmar; Bohumil Zalesak; Jaroslav Pilny; Pavel Drac; Jana Fialova |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Biomedical papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia Volume: 150 ISSN: 1213-8118 ISO Abbreviation: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2007-04-11 Completed Date: 2008-03-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101140142 Medline TA: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Country: Czech Republic |
Other Details:
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Languages: eng Pagination: 313-9 Citation Subset: IM |
Affiliation:
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Department of Traumatology, University Hospital Olomouc, Czech Republic. i.cizmar@seznam.cz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Female Forearm / surgery* Hand / surgery* Hand Strength Humans Male Middle Aged Quadriplegia / etiology, physiopathology, surgery* Spinal Cord Injuries Tendon Transfer* / methods |
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