Rehabilitation for Nerve Transfers of the Upper Extremity

Lorna Canavan Kahn, PT, CHTMilliken Hand Rehabilitation CenterProgram in Physical TherapyWashU MedicineSt. Louis, MO, USA Macyn M. Stonner, OTD, CHTMilliken Hand Rehabilitation CenterProgram in Occupational TherapyWashU MedicineSt Louis, MO, USA Christopher Dy, MD, MPH, FACSDepartment of Orthopedic SurgeryDivision of Hand and MicrosurgeryWashU MedicineSt. Louis, MO, USA

• Part 1 Principles of Rehabilitation after Nerve Transfers.- Introduction to Nerve Transfer Surgery.- Overview of Nerve Transfer Rehabilitation.- The Role of Cortical Reorganization.- The Psychosocial Impact of Brachial Plexus Injuries.- Part 2 Rehabilitation Guidelines for Specific Nerve Transfers: Scapulothoracic.- Pectoralis Nerve to the Spinal Accessory Nerve Transfer.- Thoracodorsal Nerve to the Long Thoracic Nerve Transfer.- Intercostal Nerves to the Long Thoracic Nerve Transfer.- Part 3 Rehabilitation Guidelines for Specific Nerve Transfers : Glenohumeral.- Spinal Accessory Nerve (SAN) to the Suprascapular Nerve (SSN)Transfer.- Radial Nerve (Triceps Branch) to the Axillary Nerve Transfer.- Medial Pectoral Nerve to the Axillary Nerve Transfer.- Spinal Accessory Nerve to the Axillary Nerve Transfer.- Part 4 Rehabilitation Guidelines for Specific Nerve Transfers : Elbow.- Intercostal Nerves to the Biceps Branch of the Musculocutaneous Nerve Transfer.- Ulnar Nerve (Flexor Carpi Ulnaris/FCU Branch) to the Biceps Branch of the Musculocutaneous Nerve Transfer.- Median Nerve (FCR/FDS Branch) to the Brachialis Branch of the Musculocutaneous Nerve Transfer.- Intercostal Nerves to the Triceps Branch of the Radial Nerve Transfer.- Axillary Nerve to the Triceps Branch of the Radial Nerve Transfer.- Part 5 Rehabilitation Guidelines for Specific Nerve Transfers : Wrist.- Median Nerve (Flexor Digitorum Superficilias/FDS Branch) to the Extensor Carpi Radialis Brevis Branch (ECRB) of the Radial Nerve Transfer.- Part 6 Rehabilitation Guidelines for Specific Nerve Transfers : Hand.- Median Nerve (Flexor Carpi Radialis/FCR Branch) to the Posterior Interosseous Nerve (PIN) Transfer.- Radial Nerve (Supinator Branch) to the Posterior Interosseous Nerve (PIN) Transfer.- Anterior Interosseous Nerve (AIN) (Pronator Quadratus/PQ Branch) to the Distal Posterior Interosseous Nerve (PIN) Transfer.- Radial Nerve (Extensor Carpi Radialis Brevis/ECRB Branch) to the Flexor Digitorum Superficialis (FDS) Branch of the Median Nerve Transfer.- Radial Nerve (Extensor Carpi Radialis Brevis/ECRB Branch) to the Anterior Interosseous Nerve (AIN) Transfer.- Musculocutaneous Nerve (Brachialis Branch) to the Anterior Interosseous Nerve (AIN) Transfer.- Ulnar Nerve (Abductor Digiti Minimi/ADM Branch) to the Thenar Branch of the Median Nerve Transfer.- Anterior Interosseous Nerve (AIN) (Pronator Quadratus/PQ Branch) to the Deep Ulnar Motor NerveTransfer.- Median Nerve (Opponens Pollicis/OP Branch) to the First Dorsal Interossei Branch of the Deep Ulnar Motor Nerve.