ADL performance in individuals with cervical spinal cord injury after reconstructive hand surgery

Poster (RES)

Annika Dahlgren1,Ann-Katrin Karlsson2, Lisbeth Claesson3

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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