ArticleSpinal cord2017
Essential gains and health after upper-limb tetraplegia surgery identified by the International classification of functioning, disability and health (ICF).
Article in Spinal cord, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Article
- Combined nerve and tendon transfer (CNaTT) for grasp and release function in patients with tetraplegia: a matched prospective pilot study.The Journal of hand surgery, European volume · 2026Observational
- Implications of thumb position and trajectory in tetraplegia grip reconstruction - a cohort study.Spinal cord series and cases · 2023Observational
- Surgical restoration of hand function in tetraplegia.Spinal cord series and cases · 2021Article
- Reach out and grasp the opportunity: reconstructive hand surgery in tetraplegia.The Journal of hand surgery, European volume · 2019Review
- Outcomes of reconstructive hand surgery in patients with tetraplegia and neuropathic pain.Spinal cord · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA questionnaire-based survey.
objectivesTo describe functional gains and health following upper-limb tetraplegia surgery using the International Classification of Functioning, Disability and Health (ICF) as a reference and to explore interconnections across different dimensions of functioning and health.
settingA specialized center for advanced reconstruction of extremities at Sahlgrenska University Hospital, Gothenburg, Sweden.
methodsFifty-seven individuals who participated in a satisfaction survey were included in the present study. Besides questions concerned with the respondents' satisfaction with different aspects of surgery, the measures included perceived overall health status (EQ-VAS) and achieved grip strength. Univariate analyses were used to explore interconnections between measures.
resultsThe gains could be subcategorized and linked to the ICF domains 'mobility', 'self-care', 'communication', 'domestic life', and 'community, social and civic life', with 'handling objects' and 'maneuvering a wheelchair' as the most frequently reported gains. The mean EQ-VAS score was 67±22. No significant correlation was shown between grip strength and activity gains, nor between grip strength and perceived overall health. The degree of satisfaction was, however, associated with self-reported overall health among participants.
conclusionThe functional gains achieved after tetraplegia surgery could be applied to the ICF constructs' body functions/structures and activity with possible implications on participation. The overall health perception was relatively high and could be linked to the degree of satisfaction among participants. Muscle strength is not necessarily transferable to activity performance. This emphasizes the importance of addressing factors other than strength in the post-surgical rehabilitation and assessments.
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