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Assessment of the functioning of deep sensation in the upper extremities of patients with the complete root-avulsion-type brachial plexus injuries treated by the intercostal nerve crossing method Hiroyuki Shimizu 1 , Kimiko Shiina 1 1Department of Occupational Therapeutics, Showa University College of Medical Sciences Keyword: (腕神経叢全型引き抜き損傷) , (肋間神経交差移行術) , (深部感覚) , (機能再建) , 感覚検査 , Complete brachial plexus injury of the root-avulsion-type , Intercostal nerve crossing , Deep sensation , Functional reconstruction , Sensory examination pp.432-444
Published Date 2001/10/15
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 In this study, we tested the functioning of deep sensation in the upper limb of patients with complete root-avulsion-type brachial plexus injuries, which were treated by using the intercostal nerve crossing method, and then we examined the postoperative improvement of deep sensation. The results of "shoulder/elbow test", "upward/downward test", and "imitation test of elbow movements only" showed correct responses. However, we obtained incorrect responses from the "45°/90° test, "imitation test of simultaneous movements of shoulder and elbow", "thumb localizing test", and "olecranon localizing test".

 These tests proved that the deep sensation recovery is limited to the distinction of shoulder movement from the elbow movement and sensing the elbow position and direction of the elbow movements. As a result, we can conclude that these deep sensations were produced by a combination of messages sent from the anterior thorax via the intercostal nerve from the lateral cutaneous nerve of the forearm with the sensory information remaining in the area around the shoulder and axilla.


Copyright © 2001, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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