Objective To survey the attitudes and acceptance level of upper limb function reconstruction in patients with cervical spinal cord injury and analyze the related factors. Methods From October, 2013 to June, 2014, a total of 104 patients with cervical spinal cord injury were surveyed with self-designed questionnaire. Results There were 81 valid questionnaires, in which 3 patients (3.7%) heard of upper-extremity reconstructive surgery. The patients longed for upper limb function improvement most. After they had a understanding of the surgery, their willingness improved (P<0.01). No significant difference was found in the satisfaction degree and operation willingness between different hand function groups (P>0.05). The patients focused on the operation cost, the operation risk, recovery time after operation and the satisfaction of assistive devices, however, they were not correlated with the willingness of upper limb function reconstruction (P>0.05). Conclusion There is a clear gap between strong desire for functional improvement of upper limb and surgery awareness. It is important to communicate upper limb among patients with cervical spinal cord injury.
LI Jun
,
WANG Chong
,
DU Liang-jie
,
LIU Hong-wei
,
YANG Ming-liang
,
GAO Feng
,
GUO Yun
,
CHEN Liang
,
YANG De-gang
,
GONG Hui-ming
,
LI Jian-jun
. Survey on Awareness of Upper Limb Function Reconstruction in Patients with Cervical Spinal Cord Injury[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(2)
: 217
-220
.
DOI: 10.3969/j.issn.1006-9771.2017.02.020
[1] Senjaya F, Midha R. Nerve transfer strategies for spinal cord injury [J]. World Neurosurg, 2013, 80(6): e319-e326.
[2] Anderson KD. Targeting recovery: priorities of the spinal cord injured population [J]. J Neurotrauma, 2004, 21(10): 1371-1383.
[3] Snoek GJ, Ijzerman MJ, Hermens HJ, et al. Survey of the needs of patients with spinal cord injury: impact and priority for improvement in hand function in tetraplegics [J]. Spinal Cord, 2004, 42(9): 526-532.
[4] Brown JM, Vivio N, Sheean GL. The clinical practice of reconstructive neurosurgery [J]. Clin Neurol Neurosurg, 2012, 114(5): 506-514.
[5] Fridén J, Gohritz A. Muscle and nerve transfer in tetraplegia [J]. J Neurosurg, 2013, 118(3): 706-707.
[6] Krauss EM, Tung TH, Moore AM. Free functional muscle transfers to restore upper extremity function [J]. Hand Clin, 2016, 32(2): 243-256.
[7] Fridén J, Gohritz A. Tetraplegia management update [J]. J Hand Surg Am, 2015, 40(12): 2489-2500.
[8] Boahene KD. Principles and biomechanics of muscle tendon unit transfer: application in temporalis muscle tendon transposition for smile improvement in facial paralysis [J]. Laryngoscope, 2013, 123(2): 350-355.
[9] Dunn JA, Rothwell AG, Mohammed KD, et al. The effects of aging on upper limb tendon transfers in patients with tetraplegia [J]. J Hand Surg Am, 2014, 39(2): 317-323.
[10] Curtin CM, Gater DR, Chung KC. Upper extremity reconstruction in the tetraplegic population, a national epidemiologic study [J]. J Hand Surg Am, 2005, 30(1): 94-99.
[11] Anderson KD, Fridén J, Lieber RL. Acceptable benefits and risks associated with surgically improving arm function in individuals living with cervical spinal cord injury [J]. Spinal Cord, 2009, 47(4): 334-338.
[12] Manns PJ, Chad KE. Components of quality of life for persons with a quadriplegic and paraplegic spinal cord injury [J]. Qual Health Res, 2001, 11(6): 795-811.
[13] Hamou C, Shah NR, DiPonio L, et al. Pinch and elbow extension restoration in people with tetraplegia: a systematic review of the literature [J]. J Hand Surg Am, 2009, 34(4): 692-699.
[14] Curtin CM, Wagner JP, Gater DR, et al. Opinions on the treatment of people with tetraplegia: contrasting perceptions of physiatrists and hand surgeons [J]. J Spinal Cord Med, 2007, 30(3): 256-262.
[15] Dunn JA, Hay-Smith EJ, Whitehead LC, et al. Liminality and decision making for upper limb surgery in tetraplegia: a grounded theory [J]. Disabil Rehabil, 2013, 35(15): 1293-1301.
[16] Chung KC, Lau FH, Kotsis SV, et al. Factors influencing residents' decisions to pursue a career in hand surgery: a national survey [J]. J Hand Surg Am, 2004, 29(4): 738-747.
[17] Wolfe SW, Hotchkiss RN, Pederson WC, et al. Green's Operative Hand Surgery [M]. 6th ed. Philadelphia: Elsevier, 2011.
[18] Dunn JA, Hay-Smith EJ, Whitehead LC, et al. Issues influencing the decision to have upper limb surgery for people with tetraplegia [J]. Spinal Cord, 2012, 50(11): 844-847.
[19] Jaspers Focks-Feenstra JH, Snoek GJ, Bongers-Janssen HM, et al. Long-term patient satisfaction after reconstructive upper extremity surgery to improve arm-hand function in tetraplegia [J]. Spinal Cord, 2011, 49(8): 903-908.
[20] Vastamäki M. Short-term versus long-term comparative results after reconstructive upper-limb surgery in tetraplegic patients [J]. J Hand Surg Am, 2006, 31(9): 1490-1494.
[21] Brown JM. Nerve transfers in tetraplegia I: Background and technique [J]. Surg Neurol Int, 2011, 2: 121.
[22] 董云英,吴志文,商燕石,等. 对后期脊髓损伤患者康复教育需求的调查及分析[J]. 中国康复理论与实践, 2002, 8(6): 375.
[23] Curtin CM, Gater DR, Chung KC. Upper extremity reconstructionin the tetraplegic population, a national epidemiologic study [J]. J Hand Surg Am, 2005, 30(1): 94-99.
[24] Mohindra M, Sangwan SS, Kundu ZS, et al. Surgical rehabilitation of a tetraplegic hand: comparison of various methods of reconstructing an absent pinch and hook [J]. Hand (NY), 2014, 9(2): 179-186.
[25] Wagner JP, Curtin CM, Gater DR, et al. Perceptions of people with tetraplegia regarding surgery to improve upper-extremity function [J]. J Hand Surg Am, 2007, 32(4): 483-490.
[26] 李建军,杨明亮. 四肢瘫患者的上肢功能重建[J]. 中国康复理论与实践, 2002, 8(3): 142-146.
