Improvement of urological-management abilities in individuals with tetraplegia by reconstructive hand surgery.
Spinal Cord
; 38(9): 541-5, 2000 Sep.
Article
in En
| MEDLINE
| ID: mdl-11035475
ABSTRACT
OBJECTIVE:
To evaluate whether reconstructive hand surgery could improve the ability of tetraplegic patients to perform clean intermittent self-catheterization (CIC). MATERIALS ANDMETHODS:
The subjects were patients with complete traumatic tetraplegia admitted to the Nagano Rehabilitation Center between 1977 and 1996. A total of 63 subjects were included in this study with an age range of 18-73 years (mean 38.2 years). Reconstructive hand surgery was performed on 44 hands (28 cases). Current urological conditions were assessed by interview or mail questionnaire.RESULTS:
Fifty-one per cent (22/43) of the patients with C6 level of tetraplegia and 86% (12/14) of those with C7 or C8 neurological level of injury could perform CIC independently and only one subject needed assisted CIC.CONCLUSION:
CIC is the preferred option for people with tetraplegia. Reconstructive hand surgery is thus recommended to make urological management more independent for a selected group of people with tetraplegia.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quadriplegia
/
Urinary Bladder, Neurogenic
/
Hand
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Spinal Cord
Year:
2000
Document type:
Article