Sensory Re-Education in the Hand following Nerve Repair Using Therapeutic Guidelines Based on Neurophysiological Function

Abstract

It is well known that, following peripheral nerve repair, a formal programme of sensory re-education can be a useful therapeutic tool. Less well established is the theoretical basis for these programmes and exactly when therapeutic intervention should take place. In an attempt to overcome this shortfall, A Lee Dellon, an American hand surgeon, investigated sensory function and patterns of recovery following nerve repair. This article includes a brief review of Dellon's theory of sensory recovery and the methods of assessment/treatment which he uses. Therapeutic intervention is reassessed with reference both to Dellon's theory and to practical difficulties with its application.