Delayed sensory reeducation after toe-to-hand transfer.
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.
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Taipei, Taiwan.
F C
FC
Wei
H S
HS
Ma
D000328:Adult; D005260:Female; D005383:Finger Injuries / Q000534:rehabilitation* / Q000601:surgery; D005385:Fingers / Q000294:innervation; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D012677:Sensation / Q000502:physiology; D013933:Thumb / Q000294:innervation / Q000601:surgery*; D013997:Time Factors; D014034:Toes / Q000637:transplantation*