Evidence map›Paper›PMID 39619821›Full record

ArticleTopics in spinal cord injury rehabilitation2024

Accessing Rehabilitation after Upper Limb Reconstructive Surgery in Cervical Spinal Cord Injury: A Qualitative Study.

Samantha B Randolph, Allison J L'Hotta, Katharine Tam, Katherine C Stenson, Catherine M Curtin, Aimee S James, Carie R Kennedy, Doug Ota, Christine B Novak, Deborah Kenney and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Topics in spinal cord injury rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Samantha B RandolphProgram in Occupational Therapy, Washington University, St. Louis, Missouri.
Allison J L'HottaBrown School, Prevention Research Center, Washington University, St. Louis, Missouri.
Katharine TamVeterans Affairs St. Louis Healthcare System, St. Louis, Missouri.
Katherine C StensonVeterans Affairs St. Louis Healthcare System, St. Louis, Missouri.
Catherine M CurtinDivision of Plastic Surgery, Department of Surgery, Stanford University, Palo Alto, California.
Aimee S JamesDivision of Public Health Sciences, Department of Surgery, Washington University, St. Louis, Missouri.
Carie R KennedyDivision of Plastic & Reconstructive Surgery, Department of Surgery, Washington University, St. Louis, Missouri.
Doug OtaVeterans Affairs Palo Alto Healthcare System, Palo Alto, California.
Christine B NovakDivision of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario.
Deborah KenneyRobert A. Chase Hand & Upper Limb Center, Department of Orthopedic Surgery, Stanford University, Stanford, California.
Ida K FoxDivision of Plastic & Reconstructive Surgery, Department of Surgery, Washington University, St. Louis, Missouri.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To investigate the barriers and facilitators to rehabilitation experienced by individuals with cervical SCI after upper limb (UL) reconstructive surgery. Methods: We conducted a prospective cohort study with a follow-up period of up to 24 months. Data collection occurred at two academic and two Veterans Affairs medical centers in the United States. Participants were purposively sampled and included 21 adults with cervical SCI (c-SCI) who had received nerve or tendon transfer surgeries and 15 caregivers. We administered semi-structured interviews about participants' experiences of accessing rehabilitation services after surgery. Results: Four themes emerged from the data: (1) participants encountered greater obstacles in accessing therapy as follow-up time increased; (2) practical challenges (e.g., insurance coverage, opportunity costs, transportation) limited rehabilitation access; (3) individuals with c-SCI and their caregivers desired more information about an overall rehabilitation plan; and (4) external support systems facilitated therapy access. Conclusion: Individuals with c-SCI experience multilevel barriers in accessing rehabilitation care after UL reconstructive surgeries in the United States. This work identifies areas of focus to mitigate these challenges, such as enhancing transparency about the overall rehabilitation process, training providers to work with this population, and developing, testing, and disseminating rehabilitation protocols following UL reconstruction among people with c-SCI.

Indexed as

Health Services AccessibilityPlastic Surgery ProceduresQualitative ResearchSpinal Cord InjuriesUpper ExtremityAdultAgedCervical CordCervical VertebraeFemaleHumansMaleMiddle AgedNerve TransferProspective StudiesUnited Statescervical spinal cord injurynerve transfer surgerypostsurgical rehabilitationrehabilitationtendon transfer surgery

Identifiers

PMID39619821
PMCPMC11603106

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.