Joel O'Sullivan, Jack Jeffrey, Caroline Miller, Dominic Power
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Rehabilitation Following a Triceps Branch to Axillary Motor Nerve Transfer-A Pragmatic Therapy Guide.
Peripheral motor nerve transfer surgery is a technique that may be used to restore motor function to paralyzed muscles. Motor nerve transfer involves harvesting an expendable motor nerve branch, and transfer to the motor branch of the denervated target muscle, using microsurgical coaptation. To date, a standardized rehabilitation protocol does not exist. The 6 stages of rehabilitation after motor nerve transfer surgery were outlined by colleagues in the Birmingham Peripheral Nerve Injury service in 2019. This article aims to provide a practical therapy perspective on the rehabilitation stages of motor nerve transfer surgery outlined in that paper, focusing on the radial to axillary nerve transfer. Timeframes for each stage along with exercise prescription and rationale are provided.
期刊介绍:
Techniques in Hand & Upper Extremity Surgery presents authoritative, practical information on today"s advances in hand and upper extremity surgery. It features articles by leading experts on the latest surgical techniques, the newest equipment, and progress in therapies for rehabilitation. The primary focus of the journal is hand surgery, but articles on the wrist, elbow, and shoulder are also included. Major areas covered include arthroscopy, microvascular surgery, plastic surgery, congenital anomalies, tendon and nerve disorders, trauma, and work-related injuries.