Spontaneous Motor Recovery after Cervical Spinal Cord Injury: Issues for Nerve Transfer Surgery Decision Making.
Spinal Cord
; 60(10): 922-927, 2022 10.
Article
in En
| MEDLINE
| ID: mdl-35896613
ABSTRACT
STUDY DESIGN:
Retrospective cohort study.OBJECTIVES:
To quantify spontaneous upper extremity motor recovery between 6 and 12 months after spinal cord injury (SCI) to help guide timing of nerve transfer surgery to improve upper limb function in cervical SCI.SETTING:
Nineteen European SCI rehabilitation centers.METHODS:
Data was extracted from the European Multicenter Study of SCI database for individuals with mid-level cervical SCI (N = 268). Muscle function grades at 6 and 12 months post-SCI were categorized for analysis.RESULTS:
From 6 to 12 months after SCI, spontaneous surgically-relevant recovery was limited. Of all limbs (N = 263) with grade 0-2 elbow extension at 6 months, 4% regained grade 4-5 and 11% regained grade 3 muscle function at 12 months. Of all limbs (N = 380) with grade 0-2 finger flexion at 6 months, 3% regained grade 4-5 and 5% regained grade 3 muscle function at 12 months.CONCLUSION:
This information supports early (6 month) post-injury surgical consultation and evaluation. With this information, individuals with SCI can more fully engage in preference-based decision-making about surgical intervention versus continued rehabilitation and spontaneous recovery to gain elbow extension and/or hand opening and closing.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Cord Injuries
/
Nerve Transfer
/
Cervical Cord
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Spinal Cord
Journal subject:
NEUROLOGIA
Year:
2022
Document type:
Article
Affiliation country: