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临床试验/ACTRN12615000179538
ACTRN12615000179538已完成未知

The effect of nerve transfer surgery on upper limb function in patients with tetraplegia after traumatic spinal cord injury

The University of Melbourne0 个研究点目标入组 16 人开始时间: 2015年2月24日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
入组人数
16

研究概览

简要总结

Fifty-nine nerve transfers were performed altogether (some participants had nerve transfers on both arms). Ten participants had nerve transfers combined with tendon transfers. At the two-year follow-up, participants had significant improvement in hand function and strength as well as in self-care scores. There were six adverse effects related to the surgery which had no serious functional consequences

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Treatment

入排标准

年龄范围
12 Years 至 70 Years(—)
性别
All

入选标准

  • 1. Complete or incomplete tetraplegia with C5 – C7 motor neurological level
  • 2. Spinal injury sustained within the last 12-18 months
  • 3. Assessed as suitable for nerve transfer surgery by the surgical and occupational therapy team at the Upper
  • Limb Program Multidisciplinary Clinic at Royal Talbot.
  • 4. Consent to nerve transfer surgery after being fully informed about expected outcomes, potential risks, surgical
  • procedure, recovery time, postoperative therapy commitments and the same for the equivalent tendon transfers
  • 5. Able to comply with therapy protocols postoperatively

排除标准

  • 1. Accompanying head injury, brachial plexus or peripheral nerve injury at the time of, or preceding the spinal cord
  • 2. Any other pre-existing neurological condition
  • 3. Cognitive impairment limiting ability to consent to surgery or comply with postoperative rehabilitation
  • 4. Skeletal or joint injury significantly limiting passive range of movement across a joint relevant to the proposed
  • nerve transfer

研究者

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