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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Published on: October 29, 2021

Long-term physical therapy management following a single-event multiple level surgery.

Melodie Kondratek¹, Holly McCollum, Angela Garland

¹Oakland University Rochester, Michigan 48309, USA. mdkondra@oakland.edu

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association

|November 12, 2010

Summary

Single-event multiple level surgery (SEMLS) combined with physical therapy (PT) can improve function in individuals with cerebral palsy (CP) when conservative methods fail. This approach offers sustained functional gains beyond 24 months post-surgery.

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Last Updated: Jun 6, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Published on: October 29, 2021

Area of Science:

Orthopedic Surgery
Pediatric Rehabilitation
Cerebral Palsy Management

Background:

Cerebral palsy (CP) often presents with secondary conditions requiring comprehensive management.
Conservative treatments may not always suffice for addressing these secondary complications effectively.

Observation:

This case report details the surgical procedures of single-event multiple level surgery (SEMLS) for managing secondary conditions in a pediatric patient with CP.
Physical therapy (PT) management over 35 months post-SEMLS was documented for an adolescent classified at Gross Motor Function Classification System level II.

Findings:

SEMLS, when integrated with PT and robust family support, demonstrated potential for greater functional improvement compared to single-impairment surgical corrections.
Outcome measures including the Gross Motor Function Measure-66 and Activity Scale for Kidsperformance38 indicated sustained functional gains, exceeding preoperative levels beyond 24 months post-surgery.

Implications:

SEMLS offers a viable surgical strategy for complex cases of cerebral palsy, enhancing functional outcomes.
Multidisciplinary rehabilitation, emphasizing teamwork and long-term commitment, is crucial for maximizing patient benefits following SEMLS.