ADL performance in individuals with cervical spinal cord injury after reconstructive hand surgery
1) Institute of Neuroscience and Physiology, Sweden 2) Sahlgrenska University Hospital, Sweden 3) University of Gothenburg, Sweden
Introduction: Reconstructive hand
surgery can restore lost arm and hand function and influence the ability to
perform self-care for cervical SCI persons.
Aim: To examine how these operations affects P-ADL in individuals with cervical SCI.
Methods: Study consisted of 71 persons, injury level of C5-C8 divided into two groups. Persons were interviewed with Klein-Bell ADL Scale (KB) before and 1 year after surgery. Data were analyzed with Rang Invariant method.
Results: Hand group improved fine motor skills during one and bimanual tasks while elbow group expanded their reach and improved in one-hand tasks. Statistically significant improvements were more common in hand group compared to elbow group. Significant differences at individual level were only represented in elbow group.
Conclusion: The KB ADL Scale can capture significant changes in self-care after surgery. Both one- and bimanual tasks improved and assistive devices were discarded in relation to the performed reconstructive hand surgery.
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