This paper is only available as a PDF. To read, Please Download here.
Four patients with adult acquired spastic hemiplegic hand disorders had brachioradialis
to extensor digitorum communis tendon transfer to establish motor balance and improve
prehensile hand function. All of the patients had volitional control of the wrist
and finger flexors without control of the finger extensors, producing a dynamic hand
deformity in which the patients could initiate grasp without release. Dynamic electromyography
in these patients revealed electrical activity of the brachioradialis muscle during
active elbow extension, making a seemingly “out-of-phase” muscle available for “in-phase”
tendon transfer. At follow-up, ranging from 26 to 36 months (average of 30.2 months),
all four patients improved three functional levels. Translated to functional capacity
all of the patients had no functional capacity before operation and good assistive
prehension afterward.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A rationale for rehabilitation procedures based on the peripheral nerve system.Clin Orthop. 1969; 63: 7-13
- Surgery to achieve dynamic motor balance in adult acquired spastic hemiplegia: a preliminary report.J Hand Surg. 1985; 10A: 547-553
- Transfer of the brachioradialis to improve wrist extension in high spinal cord injury.J Bone and Joint Surg. 1967; 49A: 648-652
- Surgery for the quadriplegic hand with active strong wrist extension preserved.Clin Orthop. 1975; 112: 101-113
- The phasic activity of the muscles of the lower extremity and the effect of tendon transfer.J Bone and Joint Surg. 1959; 41A: 189-208
- Triceps spasticity in traumatic hemiplegia: diagnosis and treatment.Arch Phys Med Rehabil. 1987; 68: 446-469
- Adult onset hemiplegia gait changes after muscle-balancing surgery to correct the equinus.J Bone Joint Surg. 1986; 68A: 1249-1257
- Therapists' approach to the treatment of adult hemiplegia following motor balancing surgery.Occup Ther Health Care. 1987; 4: 3-4
Article info
Publication history
Accepted:
November 4,
1987
Received:
August 27,
1987
Footnotes
*Presented at the Annual Meeting of the American Association for Hand Surgery. San Juan, Puerto Rico, November 7, 1987.
**No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
