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Assessment of functional outcome after nerve repair in a longitudinal cohort

Rosén, Birgitta LU ; Dahlin, Lars B. LU and Lundborg, Göran LU (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
organization
publishing date
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
  • scopus:0033915217
  • pmid:10756579
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
2019-12-03 02:13:13
@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},
  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},
}