Tenodesis Grip Strength With Functional Hand Recovery in Cervical Spinal Cord Injury
Condition: Spinal Cord Injuries
MeSH terms: Spinal Cord Injuries; Wounds and Injuries
Study type: Observational

Summary: 
      Spinal cord injury (SCI) is devastating event, the individual become significant burden on
      their family and society SCI is impairments of sensory, motor and autonomic functions. There
      is no proper cure and care after SCI, no proper assessment and treatment is present in under
      developed countries Cross sectional study design will be used and 75 patients included in
      this study. The population included age 21-55 years, both gender included, teraplegic with
      lesion level C5-C7, Mini Mental State of Examination ≥24, patient should be medically stable.
      The patient excluded with history of peripheral nerve lesion as brachial pluxes impairment.
      For assessment of hand function tools should be used tenodesis grip strength is assessed
      Graded Redefined Assessment of Strength sensibility and prehension (GRASSP test), and
      functional hand recovery assessed by jebsen_Taylor Hand function test (JTHFT_IT), hand dynamo
      meter for grip strength, Action Arm reach test for hand function and spinal cord independence
      measure will be used. Pearson correlation will be uses to find the association between hand
      grip strength and functional activities of hand. The collected data will be analyzed by using
      SPSS 23.
    

Detailed description: 
      Spinal cord injury (SCI) is important area for research, because of planning the services for
      the disabled and also decisions making for the prevention and control of SCI. Spinal cord
      injury (SCI) is a highly destructive and damaging condition with enormous financial, social,
      and personal costs. As, there is no known cure for SCI. so, primary prevention is a
      necessary. Due to high incidence of road traffic accidents, epidemiologic data concerning
      that, it is the specific causes of spinal cord injury and the other causes of spinal cord
      injury Traumatic including transport, fall, diving in shallow water, other may be non-
      traumatic including iatrogenic. So, the understanding of this is important due to preventive
      strategies and for planning better treatment and cure. The most devastating aspects of spinal
      cord injury are Quadriplegia because it is the impairment of arm and hand function, which
      badly affect the individual's level of independence. Improving arm and hand function has been
      reported to be a high priority for individuals with SCI.As, the hand function change with
      neurological level of lesion specially in cervical spinal cord injury. In which hand function
      is almost completely loss above C5 and below C7 cord lesion the upper limb functions almost
      preserved. The high priority is preserved hand function due to personal independence and
      improve the quality of life. Tenodesis function is used to facilitate the functional hand
      grasp and release by adjusting the position of wrist in tetraplagic peoples. When the wrist
      flexed, fingers and thumb open and when the wrist extended, fingers and thumb flexed into
      palm. It is possible for those who have wrist extension in grade 3 and no active movement of
      fingers Tenodesis grasp is useful for C6-C7 spinal cord injury because they have control on
      wrist movement and limited finger control. So they can easily grasp and release objects than
      those who have no or limited control over their hands. That is helpful for their ADLs.
      Functional hand recovery or hand strength in Quadriplegia is improved with repetitive active
      or passive ROM. The above and below the spinal level of lesion. Hand grip devices also used
      for improving the grip strength and hand function in SCI.According to searched data no study
      conducted to describe the association between the functional hand recovery with reference to
      neurological lesion level of cervical spinal cord injury and tenodesis grip strength. To find
      out the association between the tenodesis grip and functional hand recovery in patient with
      cervical spinal cord injury.
    

Observational model: Other
Time perspective: Cross-Sectional
Sampling method: Non-Probability Sample
Study population: 
        SCI
      
Keywords: spinal cord injury, pain ,tenodesis grip, strength