Assessment of functional outcome after nerve repair in a longitudinal cohort
(2000) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 34(1). p.71-78- Abstract
To investigate the temporal changes in the results of clinical tests of the functional outcome after nerve repair, we followed up 19 patients periodically over a four year period after repair of the median or ulnar nerve at the forearm. Between the first and last follow-up four of the instruments used - Semmes-Weinstein monofilaments, manual muscle testing, Sollerman grip test, and Jamar dynamometer -indicated significant and moderate to large improvements. A moderate and significant improvement was also noted during the same period in patients' estimation of pain or discomfort. Results of the two-point discrimination test did not change significantly over time. Most changes occurred during the first postoperative year, and thereafter... (More)
To investigate the temporal changes in the results of clinical tests of the functional outcome after nerve repair, we followed up 19 patients periodically over a four year period after repair of the median or ulnar nerve at the forearm. Between the first and last follow-up four of the instruments used - Semmes-Weinstein monofilaments, manual muscle testing, Sollerman grip test, and Jamar dynamometer -indicated significant and moderate to large improvements. A moderate and significant improvement was also noted during the same period in patients' estimation of pain or discomfort. Results of the two-point discrimination test did not change significantly over time. Most changes occurred during the first postoperative year, and thereafter it was principally motor function that improved. We conclude that four of the six used tests showed useful temporal dynamics during the follow-up time. The lack of responsiveness in two-point discrimination test suggests that other or complementary test instruments should be used for assessment of tactile gnosis after nerve repair.
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- author
- Rosén, Birgitta
LU
; Dahlin, Lars B.
LU
and Lundborg, Göran LU
- organization
- publishing date
- 2000-08-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Assessment, Functional outcome, Hand function, Longitudinal, Nerve repair
- in
- Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
- volume
- 34
- issue
- 1
- pages
- 71 - 78
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:10756579
- scopus:0033915217
- ISSN
- 0284-4311
- DOI
- 10.1080/02844310050160204
- language
- English
- LU publication?
- yes
- id
- 8b52b7e9-1831-4fe2-8919-1ff6190167d5
- date added to LUP
- 2019-06-17 13:53:36
- date last changed
- 2025-01-09 14:45:37
@article{8b52b7e9-1831-4fe2-8919-1ff6190167d5, abstract = {{<p>To investigate the temporal changes in the results of clinical tests of the functional outcome after nerve repair, we followed up 19 patients periodically over a four year period after repair of the median or ulnar nerve at the forearm. Between the first and last follow-up four of the instruments used - Semmes-Weinstein monofilaments, manual muscle testing, Sollerman grip test, and Jamar dynamometer -indicated significant and moderate to large improvements. A moderate and significant improvement was also noted during the same period in patients' estimation of pain or discomfort. Results of the two-point discrimination test did not change significantly over time. Most changes occurred during the first postoperative year, and thereafter it was principally motor function that improved. We conclude that four of the six used tests showed useful temporal dynamics during the follow-up time. The lack of responsiveness in two-point discrimination test suggests that other or complementary test instruments should be used for assessment of tactile gnosis after nerve repair.</p>}}, author = {{Rosén, Birgitta and Dahlin, Lars B. and Lundborg, Göran}}, issn = {{0284-4311}}, keywords = {{Assessment; Functional outcome; Hand function; Longitudinal; Nerve repair}}, language = {{eng}}, month = {{08}}, number = {{1}}, pages = {{71--78}}, publisher = {{Taylor & Francis}}, series = {{Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery}}, title = {{Assessment of functional outcome after nerve repair in a longitudinal cohort}}, url = {{http://dx.doi.org/10.1080/02844310050160204}}, doi = {{10.1080/02844310050160204}}, volume = {{34}}, year = {{2000}}, }