Enhanced function in nerve-injured hands after contralateral deafferentation.
To explore whether contralateral deafferentation by tourniquet-induced anaesthesia can improve function in a nerve-injured hand, we investigated 14 patients with median or ulnar nerve injuries at wrist level. Deafferentation of the contralateral forearm and hand resulted in significantly improved tactile discrimination, threshold for perception of touch in the injured nerve area and in the area corresponding to the intact nerve in the injured hand, and significantly increased grip strength. Improvements lasted at least 15 min. The results show that hand function after peripheral nerve injury can be temporarily enhanced by manipulation of the process of brain plasticity. Our results may have practical applications in the rehabilitation of peripheral nerve-injured patients.
Björkman
Anders
A
Department of Hand Surgery, University Hospital Malmö, SE-20502 Malmö, Sweden. anders.bjorkman@hand.mas.lu.se
Rosén
Birgitta
B
Lundborg
Göran
G
D000328:Adult; D000758:Anesthesia / Q000379:methods; D004192:Discrimination, Psychological / Q000187:drug effects / Q000502:physiology; D007839:Functional Laterality / Q000187:drug effects / Q000502:physiology*; D006225:Hand / Q000294:innervation / Q000502:physiology*; D006230:Hand Injuries / Q000209:etiology / Q000628:therapy*; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000628:therapy; D011597:Psychomotor Performance / Q000502:physiology; D012683:Sensory Deprivation / Q000502:physiology*; D012684:Sensory Thresholds / Q000187:drug effects / Q000502:physiology