One-year evolution of ulnar somatosensory potentials after trauma in 365 tetraplegic patients : early prediction of potential upper limb function

Kuhn, Fabian; Halder, Pascal; Spiess, Martina Rebekka; Schubert, Martin

doi:10.1089/neu.2011.2277

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	One-year evolution of ulnar somatosensory potentials after trauma in 365 tetraplegic patients : early prediction of potential upper limb function
Authors:	Kuhn, Fabian Halder, Pascal Spiess, Martina Rebekka Schubert, Martin
et. al:	No
DOI:	10.1089/neu.2011.2277
Published in:	Journal of Neurotrauma
Volume(Issue):	29
Issue:	10
Page(s):	1829
Pages to:	1837
Issue Date:	Jul-2012
Publisher / Ed. Institution:	Mary Ann Liebert
ISSN:	0897-7151 1557-9042
Language:	English
Subjects:	Adult; Aged; Early Diagnosis; Electrodiagnosis; Evoked Potential, Somatosensory; Female; Humans; Male; Middle aged; Quadriplegia; Recovery of function; Spinal Cord injury; Ulnar nerve
Subject (DDC):	616.8: Neurology, diseases of nervous system 617: Surgery
Abstract:	Early prediction of hand function is crucial for efficient rehabilitation of cervical spinal cord injury (cSCI). This study investigated correlations between ulnar somatosensory evoked potentials (ulnar SSEPs) and functional outcome of hand function following acute traumatic cervical cord injury. Neurological assessment of sensory scores and hand function were compared with five ulnar SSEP categories of similar persistence and quality in 365 patients throughout the first year after cSCI. Of the 365 patients, 218 (68%) exhibited ulnar SSEP potentials at any one stage during the year, and in 147 patients (40.3%) ulnar SSEPs were obtainable at every assessment stage. While ulnar SSEP latency and amplitude assessments remained largely unchanged over time in the majority of patients, hand function improved remarkably during the first year following cSCI. One year outcome of hand function was predetermined by ulnar SSEP category due to distinct differences in the ulnar SSEP parameters. Additionally, an early prognostic group allocation by ulnar SSEP criteria at the first assessment stage within 4 weeks after spinal trauma allowed reliable prediction of hand function outcome after 1 year. We conclude that early assessment of ulnar SSEP as a non-invasive and objective neurophysiological test is a valuable marker of prospective hand function and independence 1 year after cSCI. This could be most relevant for planning neurorehabilitation, and in prospective clinical SCI trials.
URI:	https://www.zora.uzh.ch/id/eprint/68406/1/one_year.pdf https://digitalcollection.zhaw.ch/handle/11475/25603
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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Kuhn, F., Halder, P., Spiess, M. R., & Schubert, M. (2012). One-year evolution of ulnar somatosensory potentials after trauma in 365 tetraplegic patients : early prediction of potential upper limb function. Journal of Neurotrauma, 29(10), 1829–1837. https://doi.org/10.1089/neu.2011.2277

Kuhn, F. et al. (2012) ‘One-year evolution of ulnar somatosensory potentials after trauma in 365 tetraplegic patients : early prediction of potential upper limb function’, Journal of Neurotrauma, 29(10), pp. 1829–1837. Available at: https://doi.org/10.1089/neu.2011.2277.

F. Kuhn, P. Halder, M. R. Spiess, and M. Schubert, “One-year evolution of ulnar somatosensory potentials after trauma in 365 tetraplegic patients : early prediction of potential upper limb function,” Journal of Neurotrauma, vol. 29, no. 10, pp. 1829–1837, Jul. 2012, doi: 10.1089/neu.2011.2277.

KUHN, Fabian, Pascal HALDER, Martina Rebekka SPIESS und Martin SCHUBERT, 2012. One-year evolution of ulnar somatosensory potentials after trauma in 365 tetraplegic patients : early prediction of potential upper limb function. Journal of Neurotrauma [online]. Juli 2012. Bd. 29, Nr. 10, S. 1829–1837. DOI 10.1089/neu.2011.2277. Verfügbar unter: https://www.zora.uzh.ch/id/eprint/68406/1/one_year.pdf

Kuhn, Fabian, Pascal Halder, Martina Rebekka Spiess, and Martin Schubert. 2012. “One-Year Evolution of Ulnar Somatosensory Potentials after Trauma in 365 Tetraplegic Patients : Early Prediction of Potential Upper Limb Function.” Journal of Neurotrauma 29 (10): 1829–37. https://doi.org/10.1089/neu.2011.2277.

Kuhn, Fabian, et al. “One-Year Evolution of Ulnar Somatosensory Potentials after Trauma in 365 Tetraplegic Patients : Early Prediction of Potential Upper Limb Function.” Journal of Neurotrauma, vol. 29, no. 10, July 2012, pp. 1829–37, https://doi.org/10.1089/neu.2011.2277.