The lived experience of motor recovery of elbow flexion following Oberlin nerve transfer: A qualitative analysis. (December 2018)

• Record Type: Journal Article
• Authors: Brown, Hazel; Johnson, Kathryn; Gilbert, Anthony; Quick, Tom J
• Is Part Of: Hand therapy. Volume 23:Number 4(2018)
• Page Start: 130
• Page End: 138
• Publication Date: 2018-12
• Subjects: Brachial plexus injury -- Oberlin nerve transfer -- motor recovery -- lived experience; Hand -- Wounds and injuries -- Treatment -- Great Britain -- Periodicals; Hand -- Wounds and injuries -- Patients -- Rehabilitation -- Great Britain -- Periodicals; 617.57506
• DOI: 10.1177/1758998318796010
• Languages: English
• ISSNs: 1758-9983

Abstract

Introduction: Nerve injuries to the upper trunk, lateral cord and musculocutaneous nerve can result in the loss of active biceps contraction. Oberlin nerve transfer surgery is often performed to re-animate the biceps muscle. Outcome studies following this surgery almost exclusively focus on muscle strength. To date, no research has focused on the lived experience of motor recovery following Oberlin nerve transfer. Methods: A focus group discussion ( n = 6) allowed participants to give their accounts of successful restoration of active elbow flexion. Qualitative analysis of the transcript identified 'significant statements' which were used to generate themes and capture participants' lived experience. Results: Four main themes were identified as being important components of the lived experience: 'pain', 'patience and positive thought', 'functionality and daily lifestyle' and 'the biceps muscle' itself. Each theme was identified to have several subthemes and constituent parts. Conclusions: The lived experience of motor recovery is complex, multifaceted and individual to the patient. This study has identified areas where clinicians may be able to better tailor their care to the individual and suggested adjuncts to therapy have been included.