The effect of early relearning on sensory recovery 4 to 9 years after nerve repair: a report of a randomized controlled study

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TY - JOUR

T1 - The effect of early relearning on sensory recovery 4 to 9 years after nerve repair

T2 - Journal of Hand Surgery

AU - Vikström, Pernilla

AU - Rosén, Birgitta

AU - Carlsson, Ingela K.

AU - Björkman, Anders

PY - 2018/7

Y1 - 2018/7

N2 - Twenty patients randomized to early sensory relearning (nine patients) or traditional relearning (11 patients) were assessed regarding sensory recovery 4 to 9 years after median or ulnar nerve repair. Outcomes were assessed with the Rosen score, questionnaires, and self-reported single-item questions regarding function and activity. The patients with early sensory relearning had significantly better sensory recovery in the sensory domain of the Rosen score, specifically, discriminative touch or tactile gnosis and dexterity. They had significantly less self-reported problems in gripping, clumsiness, and fine motor skills. No differences were found in questionnaires between the two groups. We conclude that early sensory relearning improves long-term sensory recovery following nerve repair. Level of evidence: I

AB - Twenty patients randomized to early sensory relearning (nine patients) or traditional relearning (11 patients) were assessed regarding sensory recovery 4 to 9 years after median or ulnar nerve repair. Outcomes were assessed with the Rosen score, questionnaires, and self-reported single-item questions regarding function and activity. The patients with early sensory relearning had significantly better sensory recovery in the sensory domain of the Rosen score, specifically, discriminative touch or tactile gnosis and dexterity. They had significantly less self-reported problems in gripping, clumsiness, and fine motor skills. No differences were found in questionnaires between the two groups. We conclude that early sensory relearning improves long-term sensory recovery following nerve repair. Level of evidence: I

KW - Nerve injury

KW - nerve repair

KW - rehabilitation

KW - sensibility

KW - sensory relearning

UR - http://www.scopus.com/inward/record.url?scp=85045674692&partnerID=8YFLogxK

U2 - 10.1177/1753193418767024

DO - 10.1177/1753193418767024

M3 - Article

VL - 43

SP - 626

EP - 630

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 2043-6289

IS - 6

ER -