1 / 7

Musculocutaneous Nerve Transfer: Therapy

Musculocutaneous Nerve Transfer: Therapy. Sybil Hedrick, OTR/L, CHT, CSCS. Must Have Elbow Flexion. Musculocutaneous Nerve Innervates: Coracobrachialis Biceps Brachialis. ‪whiskeygoldmine.com. Modified Oberlin. Thoracodorsal. Double Fascicular Nerve Transfer .

finna
Download Presentation

Musculocutaneous Nerve Transfer: Therapy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MusculocutaneousNerve Transfer:Therapy Sybil Hedrick, OTR/L, CHT, CSCS

  2. Must Have Elbow Flexion • Musculocutaneous Nerve • Innervates: • Coracobrachialis • Biceps • Brachialis ‪whiskeygoldmine.com

  3. Modified Oberlin Thoracodorsal

  4. Double Fascicular Nerve Transfer • Using fascicles from the intact • median nerve • Ulnar nerve

  5. Post Operative Therapy:Musculocutaneous Nerve Transfer • Post-operative pain management • Edema control • Immobilization • 7-10 days • Early ROM • Shoulder, wrist, hand • 3-4 weeks, elbow A/PROM

  6. Motor Reeducation • Motor reeducation with tasks that are normal for elbow flexion are instituted to relearn: • normal movement patterns • muscle recruitment • reestablish muscle balance • 1st: elbow flexion muscle “contraction” combined with contraction from donor nerve: FCU, FCR, FDS and PL • Want most synergistic action based on original motor pattern • Bimanual tasks

  7. Strengthening • Utilize reinnervated muscle physiology and biomechanics • 1) short duration exercise sessions (<5-10min) • Slow onset contractions • begin in mid-range (place and hold) or gravity eliminated • 2) Multi-angle isometrics • 3) Concentric strengthening • 4) Eccentric strengthening

More Related