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Updated: Oct 17, 2025

09:34
Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
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Rehabilitation Following Nerve Transfer Surgery
Juliana Larocerie-Salgado1, Shrikant Chinchalkar1, Douglas C Ross1
1Roth| McFarlane Hand and Upper Limb Centre and the Peripheral Nerve Clinic, Western University, London, ON.
Techniques in Hand & Upper Extremity Surgery
|October 7, 2021
Summary
Nerve transfer surgery offers a new treatment for nerve trauma. This phased rehabilitation plan, developed over 15 years, enhances patient outcomes in peripheral nerve programs.
Area of Science:
- Orthopedics
- Neurosurgery
- Physical Medicine and Rehabilitation
Background:
- Nerve transfer surgery is a crucial advancement for treating nerve trauma.
- The Roth|McFarlane Hand and Upper Limb Centre has extensive experience, evaluating over 400 complex nerve injury patients annually since 2005.
- A multidisciplinary approach involving patients, therapists, physiatrists, and surgeons has guided program development.
Purpose of the Study:
- To present a comprehensive, phased rehabilitation plan for nerve transfer surgery.
- To establish a reproducible framework for other peripheral nerve programs.
- To enhance patient outcomes following nerve trauma treatment.
Main Methods:
- Development of a phased rehabilitation program over 15 years.
- Incorporation of interdisciplinary team and patient input.
- Iterative refinement based on clinical experience and scientific evidence.
Main Results:
- A practical and reproducible rehabilitation framework has been established.
- The program has evolved through continuous clinical experience and scientific updates.
- The plan is designed for adaptation by other specialized centers.
Conclusions:
- The presented rehabilitation plan provides a valuable framework for nerve transfer surgery.
- Adaptation of this paradigm can improve patient outcomes in peripheral nerve care.
- Interdisciplinary collaboration and evidence-based evolution are key to successful rehabilitation.
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