Publication

CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR

Coert, J. H., Stenekes, M. W., Paans, A. M. J., Nicolai, J. -P. A. & De Jong, B. M., Aug-2009, In : Journal of Hand Surgery (European volume). 34E, 4, p. 444-448 5 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Coert, J. H., Stenekes, M. W., Paans, A. M. J., Nicolai, J. -P. A., & De Jong, B. M. (2009). CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR. Journal of Hand Surgery (European volume), 34E(4), 444-448. https://doi.org/10.1177/1753193408099827

Author

Coert, J. H. ; Stenekes, M. W. ; Paans, A. M. J. ; Nicolai, J. -P. A. ; De Jong, B. M. / CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR. In: Journal of Hand Surgery (European volume). 2009 ; Vol. 34E, No. 4. pp. 444-448.

Harvard

Coert, JH, Stenekes, MW, Paans, AMJ, Nicolai, J-PA & De Jong, BM 2009, 'CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR', Journal of Hand Surgery (European volume), vol. 34E, no. 4, pp. 444-448. https://doi.org/10.1177/1753193408099827

Standard

CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR. / Coert, J. H.; Stenekes, M. W.; Paans, A. M. J.; Nicolai, J. -P. A.; De Jong, B. M.

In: Journal of Hand Surgery (European volume), Vol. 34E, No. 4, 08.2009, p. 444-448.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Coert JH, Stenekes MW, Paans AMJ, Nicolai J-PA, De Jong BM. CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR. Journal of Hand Surgery (European volume). 2009 Aug;34E(4):444-448. https://doi.org/10.1177/1753193408099827


BibTeX

@article{a37a118e66254b28a5547cfa42e8970a,
title = "CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR",
abstract = "After flexor tendon injury, most attention is given to the quality of the tendon repair and postoperative early passive dynamic mobilisation. Schemes for active mobilisation have been developed to prevent tendon adhesions and joint stiffness. This paper describes five patients to demonstrate the cerebral consequences of immobilisation allowing only passive movements, which implies a prolonged absence of actual motor commands. At the end of such immobilisation, PET imaging revealed reduced blood flow in specific motor areas, associated with temporary loss of efficient motor control. Effective motor control was regained after active flexion exercises which was reflected in normalised cerebral activations. This suggests that temporary, reversible cerebral dysfunction may affect the outcome of flexor tendon injuries.",
keywords = "cerebral, relearning, flexor, tendon, injury, BRAIN PLASTICITY, NERVE TRANSFERS, BASAL GANGLIA, RECOVERY, STROKE, ACTIVATION, CORTEX, COORDINATION, AMPUTATION, MOVEMENTS",
author = "Coert, {J. H.} and Stenekes, {M. W.} and Paans, {A. M. J.} and Nicolai, {J. -P. A.} and {De Jong}, {B. M.}",
year = "2009",
month = "8",
doi = "10.1177/1753193408099827",
language = "English",
volume = "34E",
pages = "444--448",
journal = "Journal of Hand Surgery (European volume)",
issn = "1753-1934",
publisher = "SAGE Publications Inc.",
number = "4",

}

RIS

TY - JOUR

T1 - CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR

AU - Coert, J. H.

AU - Stenekes, M. W.

AU - Paans, A. M. J.

AU - Nicolai, J. -P. A.

AU - De Jong, B. M.

PY - 2009/8

Y1 - 2009/8

N2 - After flexor tendon injury, most attention is given to the quality of the tendon repair and postoperative early passive dynamic mobilisation. Schemes for active mobilisation have been developed to prevent tendon adhesions and joint stiffness. This paper describes five patients to demonstrate the cerebral consequences of immobilisation allowing only passive movements, which implies a prolonged absence of actual motor commands. At the end of such immobilisation, PET imaging revealed reduced blood flow in specific motor areas, associated with temporary loss of efficient motor control. Effective motor control was regained after active flexion exercises which was reflected in normalised cerebral activations. This suggests that temporary, reversible cerebral dysfunction may affect the outcome of flexor tendon injuries.

AB - After flexor tendon injury, most attention is given to the quality of the tendon repair and postoperative early passive dynamic mobilisation. Schemes for active mobilisation have been developed to prevent tendon adhesions and joint stiffness. This paper describes five patients to demonstrate the cerebral consequences of immobilisation allowing only passive movements, which implies a prolonged absence of actual motor commands. At the end of such immobilisation, PET imaging revealed reduced blood flow in specific motor areas, associated with temporary loss of efficient motor control. Effective motor control was regained after active flexion exercises which was reflected in normalised cerebral activations. This suggests that temporary, reversible cerebral dysfunction may affect the outcome of flexor tendon injuries.

KW - cerebral

KW - relearning

KW - flexor

KW - tendon

KW - injury

KW - BRAIN PLASTICITY

KW - NERVE TRANSFERS

KW - BASAL GANGLIA

KW - RECOVERY

KW - STROKE

KW - ACTIVATION

KW - CORTEX

KW - COORDINATION

KW - AMPUTATION

KW - MOVEMENTS

U2 - 10.1177/1753193408099827

DO - 10.1177/1753193408099827

M3 - Article

VL - 34E

SP - 444

EP - 448

JO - Journal of Hand Surgery (European volume)

JF - Journal of Hand Surgery (European volume)

SN - 1753-1934

IS - 4

ER -

ID: 4938610