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Evaluation of functional independence in cervical spinal cord injury: Implications for surgery to restore upper limb function

The Journal of Hand Surgery Jan 17, 2021

Dengler J, et al. - This study was sought to present functional independence achieved by individuals with differing levels of cervical spinal cord injury (SCI). Researchers conducted this analysis of individuals with traumatic SCI, motor-level C5–C8 using the comprehensive European Multicenter Study of Spinal Cord Injury dataset. They compared data on feeding, bladder management, and transfers (bed to wheelchair) between individuals with different levels of injury. Data were obtained from individuals with symmetrical (n = 204) and asymmetrical (n = 95) patterns of SCI. The outcomes of this study exhibited that people with cervical SCI who gain finger flexion have greater independence with feeding, urinary, and transfer activities. For individuals with mid-cervical-level SCI, restoration of finger flexion should be a reconstructive priority.

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