The Hua-Shan rehabilitation program after contralateral seventh cervical nerve transfer for spastic arm paralysis. Issue 3 (30th January 2022)

• Record Type: Journal Article
• Authors: Li, Jie; Ying, Ying; Su, Fan; Chen, Liwen; Yang, Jingrui; Jia, Jie; Jia, Xiaofeng; Xu, Wendong
• Is Part Of: Disability and rehabilitation. Volume 44:Issue 3(2022)
• Page Start: 404
• Page End: 411
• Publication Date: 2022-01-30
• Subjects: Stroke -- nerve regeneration -- neuroplasticity -- group therapy -- nerve transfer; People with disabilities -- Periodicals; Rehabilitation -- Periodicals; 617.03
• DOI: 10.1080/09638288.2020.1768597
• Languages: English
• ISSNs: 0963-8288

Abstract

Abstract: Purpose: To propose the novel Hua-Shan rehabilitation program for patients undergoing the contralateral seventh cervical nerve transfer, and explore the influence of different rehabilitation on the postoperative recovery. Materials and methods: The Hua-Shan program was established in consideration of the three elements: the nerve regeneration, brain plasticity and group therapy. Its effect was evaluated by comparing the postoperative recovery of the hemorrhagic stroke survivors among the following three groups: Group A-standard Hua-Shan program after surgery; Group B-standard traditional program after surgery; Group C-no standard rehabilitation after surgery. Results: Significantly better functions after surgery were detected in all the groups, while the absence of standard rehabilitation massively offset the benefits of the surgery. Furthermore, the Hua-Shan program showed advantage over the traditional rehabilitation, which may largely be attributed to its improvements for the fine action of wrist&finger. Conclusions: The Hua-Shan program provided the opportunity to maximize the benefits of contralateral seventh cervical nerve transfer. IMPLICATIONS FOR REHABILITATION: Standard rehabilitation plays key roles in the recovery process for patients undergoing contralateral seventh cervical nerve transfer. The Hua-Shan program targeting nerve regeneration, brain plasticity and group therapy further improved the benefits of patients undergoing contralateral seventh cervical nerve transfer.