Status:

RECRUITING

Combined Nerve and Tendon Transfer for the Restoration of Hand Function in Individuals With Tetraplegia

Lead Sponsor:

Göteborg University

Collaborating Sponsors:

Sahlgrenska University Hospital

Conditions:

Spinal Cord Injury Cervical

Tendon Transfer

Eligibility:

All Genders

15-55 years

Brief Summary

Tetraplegia after a cervical spinal cord injury (C-SCI) radically alters an individual's ability to perform normal activities of daily life due to paralysis in all extremities, resulting in lifelong d...

Detailed Description

Despite its incurability, surgical reconstruction of arm and hand function is a powerful tool to restore upper limb functions, as well as independence and control in individuals with tetraplegia. Pati...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Subjects must be between 15-55 years of age
  • Subjects must be diagnosed with a spinal cord injury AIS level C5 to C7
  • Time after injury ≤ 12 months
  • The strength of the muscle supplied by the donor nerve (supinator) must be graded ≥ 4 according to Medical Research Council (MRC)
  • The strength of musculus brachioradialis and wrist extensors must be graded ≥ 4 according to MRC (to be used in grip reconstruction)
  • Exclusion criteria:
  • Finger extensor strength ≤ MRC 1
  • Evidence of lower motor neuron injury in muscles supplied by the donor nerve
  • Subjects must not have any current serious or unstable illness that could interfere with the study
  • Medically unstable to undergo surgery as determined by physician
  • Spasticity in the forearm or hand graded \> 1 according to Modified Ashworth Scale

Exclusion

    Key Trial Info

    Start Date :

    January 26 2020

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 31 2026

    Estimated Enrollment :

    94 Patients enrolled

    Trial Details

    Trial ID

    NCT04276181

    Start Date

    January 26 2020

    End Date

    December 31 2026

    Last Update

    August 9 2024

    Active Locations (1)

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    1

    Center for Advanced Reconstruction of Extremities, Sahlgrenska University Hospital/Mölndal

    Mölndal, Sweden