期刊
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
卷 40, 期 6, 页码 598-606出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1753193414553163
关键词
Nerve repair; re-learning; targeted plasticity; mirror visual feedback; rehabilitation
资金
- Swedish Research Council, (Medicine)
- Faculty of Medicine, Lund University
- Skane University Hospital
- Trustfonds Rotterdam
We assessed the use of guided plasticity training to improve the outcome in the first 6 months after nerve repair. In a multicentre randomized controlled trial, 37 adults with median or ulnar nerve repair at the distal forearm were randomized to intervention, starting the first week after surgery with sensory and motor re-learning using mirror visual feedback and observation of touch, or to a control group with re-learning starting when reinnervation could be detected. The primary outcome at 3 and 6 months post-operatively was discriminative touch (shape texture identification test, part of the Rosen score). At 6 months, discriminative touch was significantly better in the early intervention group. Improvement of discriminative touch between 3 and 6 months was also significantly greater in that group. There were no significant differences in motor function, pain or in the total score. We conclude that early re-learning using guided plasticity may have a potential to improve the outcomes after nerve repair.
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