Assessment of functional outcome after nerve repair in a longitudinal cohort

Research output: Contribution to journalArticle

Abstract

To investigate the temporal changes in the results of clinical tests of the functional outcome after nerve repair, we followed up 19 patients periodically over a four year period after repair of the median or ulnar nerve at the forearm. Between the first and last follow-up four of the instruments used - Semmes-Weinstein monofilaments, manual muscle testing, Sollerman grip test, and Jamar dynamometer -indicated significant and moderate to large improvements. A moderate and significant improvement was also noted during the same period in patients' estimation of pain or discomfort. Results of the two-point discrimination test did not change significantly over time. Most changes occurred during the first postoperative year, and thereafter it was principally motor function that improved. We conclude that four of the six used tests showed useful temporal dynamics during the follow-up time. The lack of responsiveness in two-point discrimination test suggests that other or complementary test instruments should be used for assessment of tactile gnosis after nerve repair.

Details

Authors
Organisations
External organisations
  • Skåne University Hospital
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Surgery

Keywords

  • Assessment, Functional outcome, Hand function, Longitudinal, Nerve repair
Original languageEnglish
Pages (from-to)71-78
JournalScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Volume34
Issue number1
Publication statusPublished - 2000 Aug 10
Publication categoryResearch
Peer-reviewedYes