Enhanced early sensory outcome after nerve repair as a result of immediate post-operative re-learning: A randomized controlled trial.
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4737343
- author
- Rosén, Birgitta LU ; Vikström, Pernilla LU ; Turner, S ; McGrouther, D A ; Selles, R W ; Schreuders, T A R and Björkman, Anders LU
- organization
- publishing date
- 2015
- 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
- external identifiers
-
- pmid:25294735
- wos:000361893500008
- scopus:84935111252
- pmid:25294735
- 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
- 2016-04-01 10:41:01
- date last changed
- 2022-04-20 05:07:36
@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}},
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}},
doi = {{10.1177/1753193414553163}},
volume = {{40}},
year = {{2015}},
}