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Enhanced early sensory outcome after nerve repair as a result of immediate post-operative re-learning: A randomized controlled trial.

Rosén, Birgitta LU ; Vikström, Pernilla LU ; Turner, S; McGrouther, D A; Selles, R W; Schreuders, T A R and Björkman, Anders LU (2015) In Journal of Hand Surgery, European Volume 40(6). p.598-606
Abstract
We assessed the use of guided plasticity training to improve the outcome in the first 6 months after nerve repair. In a multicentre randomized controlled trial, 37 adults with median or ulnar nerve repair at the distal forearm were randomized to intervention, starting the first week after surgery with sensory and motor re-learning using mirror visual feedback and observation of touch, or to a control group with re-learning starting when reinnervation could be detected. The primary outcome at 3 and 6 months post-operatively was discriminative touch (shape texture identification test, part of the Rosen score). At 6 months, discriminative touch was significantly better in the early intervention group. Improvement of discriminative touch... (More)
We assessed the use of guided plasticity training to improve the outcome in the first 6 months after nerve repair. In a multicentre randomized controlled trial, 37 adults with median or ulnar nerve repair at the distal forearm were randomized to intervention, starting the first week after surgery with sensory and motor re-learning using mirror visual feedback and observation of touch, or to a control group with re-learning starting when reinnervation could be detected. The primary outcome at 3 and 6 months post-operatively was discriminative touch (shape texture identification test, part of the Rosen score). At 6 months, discriminative touch was significantly better in the early intervention group. Improvement of discriminative touch between 3 and 6 months was also significantly greater in that group. There were no significant differences in motor function, pain or in the total score. We conclude that early re-learning using guided plasticity may have a potential to improve the outcomes after nerve repair. Level of evidence: II. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Hand Surgery, European Volume
volume
40
issue
6
pages
598 - 606
publisher
SAGE Publications Inc.
external identifiers
  • pmid:25294735
  • wos:000361893500008
  • scopus:84935111252
ISSN
2043-6289
DOI
10.1177/1753193414553163
language
English
LU publication?
yes
id
da8f8bba-3dd3-447b-95f5-84e1c265bc37 (old id 4737343)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25294735?dopt=Abstract
date added to LUP
2014-11-06 19:22:06
date last changed
2017-02-26 03:14:38
@article{da8f8bba-3dd3-447b-95f5-84e1c265bc37,
  abstract     = {We assessed the use of guided plasticity training to improve the outcome in the first 6 months after nerve repair. In a multicentre randomized controlled trial, 37 adults with median or ulnar nerve repair at the distal forearm were randomized to intervention, starting the first week after surgery with sensory and motor re-learning using mirror visual feedback and observation of touch, or to a control group with re-learning starting when reinnervation could be detected. The primary outcome at 3 and 6 months post-operatively was discriminative touch (shape texture identification test, part of the Rosen score). At 6 months, discriminative touch was significantly better in the early intervention group. Improvement of discriminative touch between 3 and 6 months was also significantly greater in that group. There were no significant differences in motor function, pain or in the total score. We conclude that early re-learning using guided plasticity may have a potential to improve the outcomes after nerve repair. Level of evidence: II.},
  author       = {Rosén, Birgitta and Vikström, Pernilla and Turner, S and McGrouther, D A and Selles, R W and Schreuders, T A R and Björkman, Anders},
  issn         = {2043-6289},
  language     = {eng},
  number       = {6},
  pages        = {598--606},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery, European Volume},
  title        = {Enhanced early sensory outcome after nerve repair as a result of immediate post-operative re-learning: A randomized controlled trial.},
  url          = {http://dx.doi.org/10.1177/1753193414553163},
  volume       = {40},
  year         = {2015},
}