Outcomes of reconstructive hand surgery in patients with tetraplegia and neuropathic pain View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-06-14

AUTHORS

J. Wangdell, J. Fridén

ABSTRACT

Study designRetrospective cohort studyObjectivesTo evaluate the impact of preoperative neuropathic pain on outcome and postoperative compliance after grip reconstructive surgery in people with tetraplegia.SettingSpecialized tetraplegia upper-limb surgery center in Sweden.MethodsAll patients who underwent grip reconstructive surgery and attended a 6 month follow up during January 2012 and May 2015 were included. Participants were divided into two groups, pain group and no pain group, based on preoperative rating of experienced pain on a visual analog scale. The main outcome measures were grip strength, grasp ability (Grasp and Release Test) and prioritized activity outcome (Canadian Occupational Performance Measure) together with compliance to the rehabilitation plan.ResultsThe study include 37 patients (86% of the cohort). Seventeen patients experienced preoperative pain (46%). There were no differences in outcome between the pain- and the no pain group regarding grip strength (5 vs. 4.6 kg), grip ability or activity performance and satisfaction (COPM improvement of 3.1 vs. 3.0 for performance and 3.6 for both groups in satisfaction). Both groups experienced improvements in all aspects and there were no differences in the ability to fulfill postoperative treatment.ConclusionsIndividuals with tetraplegia and preoperative neuropathic pain in the arm/hand improve after grip reconstructions in a similar way to those without pain. Patients with neuropathic pain therefore should be considered as surgery candidates to the same extent as those without pain. More... »

PAGES

1194-1198

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41393-018-0164-1

DOI

http://dx.doi.org/10.1038/s41393-018-0164-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1104550963

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29904187


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217 Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
218 rdf:type schema:Organization
 




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