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Essential gains and health after upper-limb tetraplegia surgery identified by the International classification of functioning, disability and health (ICF)

Artikel i vetenskaplig tidskrift
Författare Lina Bunketorp Käll
Carina Reinholdt
Jan Fridén
Johanna Wangdell
Publicerad i Spinal Cord
Volym 55
Nummer/häfte 9
Sidor 857-863
ISSN 1362-4393
Publiceringsår 2017
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap
Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 857-863
Språk en
Länkar doi.org/10.1038/sc.2017.36
Ämnesord spinal-cord-injury, quality-of-life, tendon transfer surgery, upper-extremity surgery, parkinsons-disease, hand function, surgical, reconstruction, grip reconstruction, decision-making, satisfaction, Neurosciences & Neurology, Rehabilitation
Ämneskategorier Neurovetenskaper

Sammanfattning

Study Design: A questionnaire-based survey. Objectives: To 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. Setting: A specialized center for advanced reconstruction of extremities at Sahlgrenska University Hospital, Gothenburg, Sweden. Methods: Fifty-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. Results: The 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. Conclusion: The 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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