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Delayed sensory reeducation after toe‐to‐hand transfer
Author(s) -
Wei FuChan,
Ma HaeShya
Publication year - 1995
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920160814
Subject(s) - medicine , sensory system , rehabilitation , physical medicine and rehabilitation , physical therapy , surgery , psychology , cognitive psychology
The effect of a delayed program of sensory rehabilitation was evaluated in 13 patients with a total of 22 toe‐to‐hand transfers. Each patient was begun on a protocol of sensory reeducation at a mean of 38 months (range 13–98 months) after the transfer. Home rehabilitation, employing a Disk‐Criminator (TM) program, was monitored at monthly intervals by the therapist for a mean of 3.3 months, at which time a final evaluation of sensibility was done. Each of the 22 toe transfers improved by an average of 7 mm in static and 6 mm in moving two‐point discrimination. The improvement in two‐point discrimination following delayed implementation of sensory reeducation was statistically significant at the P <0.0001 level. © 1995 Wiley‐Liss, Inc.