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Related Experiment Video

Updated: Mar 28, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
07:59

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

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Upper Extremity Transplant Rehabilitation Protocol.

Ravi Sankaran1, Subramaniya Iyer2, Mohit Sharma3

  • 1Department of Physical Medicine and Rehabilitation, Amrita Hospital, Kochi, Kerala, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|March 27, 2026
PubMed
Summary
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This study introduces a four-phase rehabilitation protocol for upper extremity transplant recipients, focusing on functional recovery and integration. The protocol emphasizes early preservation, neuromuscular re-education, and return to daily activities.

Area of Science:

  • Rehabilitation Medicine
  • Transplant Surgery
  • Neuroscience

Background:

  • Multilevel upper extremity transplantation presents complex functional restoration challenges.
  • Restoring integrated function across multiple joints and tissue types is difficult.

Purpose of the Study:

  • To outline a novel rehabilitation protocol for upper extremity transplant recipients.
  • To detail the phased approach for optimizing functional recovery.

Main Methods:

  • Development and implementation of a four-phase progressive rehabilitation protocol.
  • Phases include early preservation, neuromuscular re-education, ADL retraining, and societal reintegration.
  • Incorporation of mirror therapy, task-oriented activities, and proprioceptive training for cortical remapping.
Keywords:
functional recoveryhand transplantationmotor re-educationnerve regenerationoccupational therapyrehabilitation

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Main Results:

  • The protocol facilitates early preservation, wound healing, and edema management.
  • Progressive introduction of exercises aids neuromuscular re-education and sensory recovery.
  • The structured approach supports return to activities of daily living and society.

Conclusions:

  • A phased rehabilitation protocol is essential for upper extremity transplant recipients.
  • Multidisciplinary collaboration is critical for successful patient recovery.
  • The protocol aims to enhance functional outcomes and integration post-transplant.