Article

Reconstruction of grip in tetraplegia aims to improve upper extremity performance
and control in daily life. We evaluated the effects of surgery and rehabilitation
on performance and satisfaction of patient identified activity goals in 20
patients (22 arms) who had grip reconstructions for both finger and thumb
flexion. Patients assessed an improvement in both performance and satisfaction
after surgery in all groups of activities assessed using the Canadian
Occupational Performance Measure (COPM). The mean improvement at 6 and 12 months
was 3.5 points better than the 2.5 points before surgery. Before surgery 36% of
the goals identified were impossible to perform. After surgery, 78% of these
goals were possible. The largest improvement was observed in the basic activity
of 'eating' but significant improvement was also noted in activities generally
regarded as complex and not measured in standard ADL such as 'doing housework'
and taking part in 'leisure'.

Langue : ANGLAIS

Tiré à part : OUI