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Supporting Patient Decisions about Upper Extremity Surgery in Cervical Spinal Cord Injury

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Technical Report,01 Sep 2018,31 Aug 2019

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Washington University School of Medicine St. Louis United States

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Purpose To define and communicate information about upper extremity UE function in spinal cord injury SCI. Scope Review information about spontaneous recovery and prospectively investigate recovery with and without surgical intervention. Major Findings People with cervical SCI have variability in their ability to perform activities of daily living ADLs and health related quality of life QOL. Surgical intervention is associated with a decreased ability to perform ADLs in the short term. This effect is most prominent in those undergoing tendon compared to nerve transfer surgery. Results 1. To date, 23 people with mid-level cervical SCI have completed both the baseline and early follow up or post-surgery study procedures. Participants were majority male 75 with mean age of 39 and over half 52 were veterans. 2. All participants reported changes in the various domains of the SF-36 health related quality of life measures over time these including physical functioning, role limitation, energyfatigue, emotional well-being, social functioning, pain, and general health. 3. Surgery participants had a decrease in their self-reported ability to do activities of daily living as measured by the SCIM Spinal Cord Independence Measure. Individuals undergoing tendon compared to nerve transfer surgery had a more pronounced decrease in SCIM scores.

Subject Categories:

  • Medicine and Medical Research
  • Anatomy and Physiology

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