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Spontaneous Motor Recovery after Cervical Spinal Cord Injury: Issues for Nerve Transfer Surgery Decision Making

Dengler, Jana; Steeves, John D; Curt, Armin; Mehra, Munish; Novak, Christine B; DOD consortium; EMSCI consortium; Fox, Ida K (2022). Spontaneous Motor Recovery after Cervical Spinal Cord Injury: Issues for Nerve Transfer Surgery Decision Making. Spinal Cord, 60(10):922-927.

Abstract

STUDY DESIGN

Retrospective cohort study.

OBJECTIVES

To quantify spontaneous upper extremity motor recovery between 6 and 12 months after spinal cord injury (SCI) to help guide timing of nerve transfer surgery to improve upper limb function in cervical SCI.

SETTING

Nineteen European SCI rehabilitation centers.

METHODS

Data was extracted from the European Multicenter Study of SCI database for individuals with mid-level cervical SCI (N = 268). Muscle function grades at 6 and 12 months post-SCI were categorized for analysis.

RESULTS

From 6 to 12 months after SCI, spontaneous surgically-relevant recovery was limited. Of all limbs (N = 263) with grade 0-2 elbow extension at 6 months, 4% regained grade 4-5 and 11% regained grade 3 muscle function at 12 months. Of all limbs (N = 380) with grade 0-2 finger flexion at 6 months, 3% regained grade 4-5 and 5% regained grade 3 muscle function at 12 months.

CONCLUSION

This information supports early (6 month) post-injury surgical consultation and evaluation. With this information, individuals with SCI can more fully engage in preference-based decision-making about surgical intervention versus continued rehabilitation and spontaneous recovery to gain elbow extension and/or hand opening and closing.

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Rehabilitation
Life Sciences > Neurology
Health Sciences > Neurology (clinical)
Language:English
Date:1 October 2022
Deposited On:15 Sep 2022 13:42
Last Modified:28 Oct 2024 02:35
Publisher:Nature Publishing Group
ISSN:1362-4393
OA Status:Closed
Publisher DOI:https://doi.org/10.1038/s41393-022-00834-6
PubMed ID:35896613
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