کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4070583 1604430 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effect of Sensory Re-Education After Low Median Nerve Complete Transection and Repair
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Effect of Sensory Re-Education After Low Median Nerve Complete Transection and Repair
چکیده انگلیسی

PurposeTo compare the sensory results of patients with low median nerve complete transection and repair, with and without sensory re-education.MethodsWe studied 40 patients, aged 20 to 32 years, with low median nerve complete transection. Primary epineural repair using 8-0 single-strand sutures was done in all patients. Hands were immobilized in a splint for 4 weeks, followed by physical therapy for 1 month. At a mean of 3.5 months (range, 3–4 months) after surgery, when vibration sense (pallesthesia), using the 256-cycles-per-second tuning fork, was perceived at the fingertips of the 3.5 radial fingers innervated by the median nerve, the patients were randomly assigned to 2 equal groups: group A patients were rehabilitated with a sensory re-education program, and group B patients had no further treatment. Clinical evaluation at 18 months after surgery (range, 17.5–18.5 months) included locognosia (the ability to localize touch), the static and moving 2-point discrimination tests, and the Moberg pick-up test.ResultsAll patients were included in the postoperative evaluation. Static and moving 2-point discrimination were not statistically significant between groups. Locognosia was significantly improved in group A, and a statistical trend was identified regarding the Moberg pick-up test in group A compared to group B.ConclusionsSensory re-education appeared to have significant value only in re-education of locognosia at 18 months after low median nerve complete transection and repair.Type of study/level of evidenceTherapeutic II.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 34, Issue 7, September 2009, Pages 1210–1215
نویسندگان
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