Tetraplegia-Outcomes of Single-Stage Grip-Release Reconstruction in Tetraplegia

Outcomes of Single-Stage Grip-Release Reconstruction in Tetraplegia

Pdf Summary

The study evaluated the outcomes of a technique for single-stage grip-release reconstruction in tetraplegia and compared it with previous 1- and 2-stage grip reconstructions. The study included 14 patients with tetraplegia who underwent single-stage reconstruction procedures to provide pinch, grip, and release function. The study group was compared with a historical control group of 15 patients who had been treated with staged flexion-extension grip-release reconstructions. The assessment parameters included grip and pinch strength, maximal opening of the first webspace, and Canadian Occupational Performance Measurement (COPM). The results showed that grip strength and opening of the first webspace were significantly greater in the single-stage group compared to the comparative group. Pinch strength was not significantly different between the groups. Patients in the single-stage group had high satisfaction and could perform several self-selected goals according to the COPM score. The study concluded that the single-stage grip-release reconstruction provides people with spinal cord injuries and tetraplegia with improved and reliable grip function. Early active mobilization is particularly important in improving functional outcome after this combination of grip reconstruction procedures.

Keywords

single-stage grip-release reconstruction

tetraplegia

grip reconstruction

pinch strength

first webspace

Canadian Occupational Performance Measurement

COPM

satisfaction

self-selected goals

spinal cord injuries