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Nerve transfers are increasingly utilized in the treatment of brachial plexus and peripheral nerve injuries. Despite the increase in surgeon interest in these techniques and the critical need for appropriate postoperative therapy, there is a lack of standardized rehabilitation protocols.
This unique book hopes to bridge this gap by presenting principles of nerve transfer rehabilitation, including timing and concepts for synergism and donor activation, as well as specific protocols for common nerve transfers. Part 1 provides an overview of nerve transfer surgery, the role of cortical reorganization, the psychosocial impact of brachial plexus injuries, as well as the principles of rehabilitation after nerve transfers. The principles emphasize motor re-education, cortical plasticity, and key concepts of recipient muscle recovery. Part 2 covers specific rehabilitation guidelines for 22 common nerve transfers of the upper extremity which aim to maximize recovery of function in the shoulder, elbow, wrist and hand. These include but are not limited to the Oberlin transfer, triceps to axillary nerve transfer, spinal accessory to suprascapular nerve transfer, intercostal nerve transfers, median to radial nerve transfers, and distal anterior interosseous nerve to ulnar motor transfer. This book serves as a clinical manual that includes tables, figures, and photos to help explain concepts and demonstrate rehabilitation exercises.
This book will be useful for a broad range of clinicians and specialists, including occupational and physical therapists, hand therapists, orthopedic and plastic surgeons, hand and elbow surgeons, neurosurgeons, neurologists, and physical medicine and rehabilitation specialists.
List of contents
Part 1 Principles of Rehabilitation after Nerve Transfers.- Introduction to Nerve Transfer Surgery.- Overview of Nerve Transfer Rehabilitation.- The Role of Cortical Reorganization.- The Psychosocial Impact of Brachial Plexus Injuries.- Part 2 Rehabilitation Guidelines for Specific Nerve Transfers: Scapulothoracic.- Pectoralis Nerve to the Spinal Accessory Nerve Transfer.- Thoracodorsal Nerve to the Long Thoracic Nerve Transfer.- Intercostal Nerves to the Long Thoracic Nerve Transfer.- Part 3 Rehabilitation Guidelines for Specific Nerve Transfers : Glenohumeral.- Spinal Accessory Nerve (SAN) to the Suprascapular Nerve (SSN)Transfer.- Radial Nerve (Triceps Branch) to the Axillary Nerve Transfer.- Medial Pectoral Nerve to the Axillary Nerve Transfer.- Spinal Accessory Nerve to the Axillary Nerve Transfer.- Part 4 Rehabilitation Guidelines for Specific Nerve Transfers : Elbow.- Intercostal Nerves to the Biceps Branch of the Musculocutaneous Nerve Transfer.- Ulnar Nerve (Flexor Carpi Ulnaris/FCU Branch) to the Biceps Branch of the Musculocutaneous Nerve Transfer.- Median Nerve (FCR/FDS Branch) to the Brachialis Branch of the Musculocutaneous Nerve Transfer.- Intercostal Nerves to the Triceps Branch of the Radial Nerve Transfer.- Axillary Nerve to the Triceps Branch of the Radial Nerve Transfer.- Part 5 Rehabilitation Guidelines for Specific Nerve Transfers : Wrist.- Median Nerve (Flexor Digitorum Superficilias/FDS Branch) to the Extensor Carpi Radialis Brevis Branch (ECRB) of the Radial Nerve Transfer.- Part 6 Rehabilitation Guidelines for Specific Nerve Transfers : Hand.- Median Nerve (Flexor Carpi Radialis/FCR Branch) to the Posterior Interosseous Nerve (PIN) Transfer.- Radial Nerve (Supinator Branch) to the Posterior Interosseous Nerve (PIN) Transfer.- Anterior Interosseous Nerve (AIN) (Pronator Quadratus/PQ Branch) to the Distal Posterior Interosseous Nerve (PIN) Transfer.- Radial Nerve (Extensor Carpi Radialis Brevis/ECRB Branch) to the Flexor Digitorum Superficialis (FDS) Branch of the Median Nerve Transfer.- Radial Nerve (Extensor Carpi Radialis Brevis/ECRB Branch) to the Anterior Interosseous Nerve (AIN) Transfer.- Musculocutaneous Nerve (Brachialis Branch) to the Anterior Interosseous Nerve (AIN) Transfer.- Ulnar Nerve (Abductor Digiti Minimi/ADM Branch) to the Thenar Branch of the Median Nerve Transfer.- Anterior Interosseous Nerve (AIN) (Pronator Quadratus/PQ Branch) to the Deep Ulnar Motor NerveTransfer.- Median Nerve (Opponens Pollicis/OP Branch) to the First Dorsal Interossei Branch of the Deep Ulnar Motor Nerve.
