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Related Experiment Video

Updated: May 14, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Rethinking Recovery: Beyond the 18-month Milestone in Nerve Transfer Surgery.

Hongdao Dong1, Gursagar Jhanji1, Orest Fylyma1

  • 1Department of Surgery, Section of Plastic Surgery.

Annals of Plastic Surgery
|May 12, 2026
PubMed
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Nerve recovery after surgery continues for longer than 18 months. This study shows significant muscle strength gains and functional improvements in patients over five years post-operation, challenging traditional timelines.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Rehabilitation Medicine

Background:

  • Conventional belief posits nerve recovery plateaus around 18 months post-surgery.
  • This dogma influences patient expectations and clinical management strategies.
  • Re-evaluation of long-term recovery is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To investigate long-term functional recovery beyond 18 months after nerve transfer surgery.
  • To challenge the established 18-month recovery plateau.
  • To inform revised patient counseling and rehabilitation protocols.

Main Methods:

  • Retrospective review of adult patients (>5 years post-nerve transfer).
  • Telephone surveys, qualitative interviews, and clinical re-examinations.
Keywords:
BMRCDASHfunctional recoverynerve transfer surgerypatient-centered rehabilitation

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Last Updated: May 14, 2026

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Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
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  • Disabilities of the Arm, Shoulder, and Hand (DASH) and British Medical Research Council (BMRC) scales used for assessment.

    • Main Results:

    • Average BMRC muscle strength improved from 3.3/5 at 18 months to 4.4/5 at >5 years.
    • 90.3% of patients experienced continued functional recovery past 18 months.
    • 87.1% resumed work or pre-injury activities, with an average DASH score of 24.7.

    Conclusions:

    • Nerve recovery significantly extends beyond the traditional 18-month timeframe.
    • Current patient counseling and rehabilitation protocols may need revision.
    • Optimizing long-term success requires acknowledging extended recovery potential.