Nerve Injury Management - Part 2-Dr. Berger - Nerve Injury Management

Dr. Berger - Nerve Injury Management - Part 2

Pdf Summary

The document discusses rehabilitation following nerve transfer surgery. The objectives of the document are to describe the unique factors affecting rehabilitation, define the phases of rehabilitation and corresponding electrodiagnostic findings, understand the current state of outcome measurement, and introduce gaps in understanding and future directions.<br /><br />Barriers to rehabilitation following nerve transfer surgery include polytrauma, neuropathic pain, mood disturbance, edema, contracture, and spasticity. The critical window and length of recovery are emphasized, with the concept that "time is muscle."<br /><br />The document also mentions the repurposing of the donor nerve and cortical plasticity as factors to consider in rehabilitation.<br /><br />A case study is provided, highlighting a patient with a radial nerve palsy and the use of FCR-PIN and FDS-ECRB nerve transfers.<br /><br />Different phases of rehabilitation are discussed, including early, middle, and late phases, with corresponding videos showing exercises and techniques.<br /><br />The document mentions that there are still many unknowns in rehabilitation, such as the intensity and frequency of rehabilitation, and the use of augmentation techniques.<br /><br />Outcome measurement in nerve transfer surgery is also addressed, with limitations of existing scales and the need for more robust and condition-specific measures.<br /><br />The conclusion states that (pre)rehabilitation is critical to treatment success and emphasizes the need for high-quality evidence and condition-specific outcome measures.<br /><br />Key references are provided for further reading on the topic of rehabilitation following nerve transfer surgery. The document also includes the contact email for the author.

Keywords

rehabilitation

nerve transfer surgery

electrodiagnostic findings

barriers to rehabilitation

recovery

case study

early phase rehabilitation

outcome measurement

unknowns in rehabilitation

condition-specific measures