Open AccessQuantifying Real-World Upper-Limb Activity Via Patient-Initiated Movement After Nerve Reconstruction for Upper Brachial Plexus Injury
Author(s) -
Brandon W. Smith,
Kai-Ting Chang,
Serena J Saake,
Lynda J.S. Yang,
Kevin C. Chung,
Susan H. Brown
Publication year - 2018
Publication title -
neurosurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.455
H-Index - 198
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1093/neuros/nyy335
Subject(s) - medicine , brachial plexus , brachial plexus injury , range of motion , surgery , physical medicine and rehabilitation , anesthesia
A critical concept in brachial plexus reconstruction is the accurate assessment of functional outcomes. The current standard for motor outcome assessment is clinician-elicited, outpatient clinic-based, serial evaluation of range of motion and muscle power. However, discrepancies exist between such clinical measurements and actual patient-initiated use. We employed emerging technology in the form of accelerometry-based motion detectors to quantify real-world arm use after brachial plexus surgery.