• Users Online: 208
  • Print this page
  • Email this page
REVIEW ARTICLE
Year : 2019  |  Volume : 3  |  Issue : 1  |  Page : 60-68

The stages of rehabilitation following motor nerve transfer surgery


Department of Hand Surgery, Plastic Surgery and Peripheral Nerve Injury Service, Birmingham Hand Service, Queen Elizabeth Hospital, Birmingham, UK

Correspondence Address:
Dr. Joshua L Hill
Department of Hand Surgery, Peripheral Nerve Injury Service, Birmingham Hand Service, Queen Elizabeth Hospital, Birmingham, B15 2TH
UK
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmsr.jmsr_79_18

Rights and Permissions

Nerve transfer surgery is a reliable technique for restoration of motor function for paralysis resulting from peripheral nerve injury. The donor motor branch or fascicle is selected in proximity to the denervated target, and a tension-free end-to-end nerve coaptation is performed allowing rapid neurotisation and functional restoration. To date, a standardised rehabilitation protocol does not exist. The Birmingham Protocol was developed to enhance communication between surgeons and physiotherapists and to improve patients' understanding of the recovery process. It is a six-phase continuous rehabilitation programme designed to improve the outcomes following motor nerve transfer surgery. The programme was developed in a regional peripheral nerve injury service and has been evaluated over 10 years in >500 motor nerve transfer procedures. The programme is simple to understand and implement, allowing patient engagement and standardisation of treatment by non-specialist physiotherapists in rehabilitation units remote from the regional centre. The phases are described with expected timelines for progression for motor nerve transfers at different sites. Core outcome measures are defined to facilitate multicentre research. It is hoped that this protocol will serve as a framework that can be applied in other centres both in the UK and the international community.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed139    
    Printed18    
    Emailed0    
    PDF Downloaded33    
    Comments [Add]    

Recommend this journal