This article reviews the management of function in the C6 quadriplegic patient's hand. It suggests ways in which hand assessment could become more concise and objective and outlines methods used to develop a functional grip in a C6 lesion.
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References
1.
ReillyM. The Eleanor Clarke Slagle lecture. Occupational therapy can be one of the great ideas of 20th century medicine. Am J Occup Ther1962; 16(1): 1–9.
2.
MalickMMeyerC. Manual on management of the quadriplegic upper extremity. Pittsburgh: Harmarville Rehabilitation Centre, 1978.
3.
MalickM. Manual on static hand splinting. 8th ed.Pittsburgh: Harmarville Rehabilitation Centre Aren Publications, 1985.
4.
DentJASmithMCaspersJ. Assessment of hand function: A review of some tests in common use. Br J Occup Ther1985; 48(12): 360–62.
5.
Bear-LehmanJAbreuBC. Evaluating the hand: Issues in reliability and validity. Phys Ther1989; 69(12): 1025–31.
6.
CambridgeCA. In: Bear-Lehman J, Abreu BC. Evaluating the hand: Issues in reliability and validity. Phys Ther1989; 69(12): 1025–31.
7.
Medical Research Council. Aids to the investigation of peripheral nerve injuries. MRC (War) No. 7. London: HMSO1942.
8.
MathiowetzVKashmanNVollandGWeberKDaveMRogersS. Grip and pinch strength. Normative data for adults. Arch Phys Med Rehabil1962; 66(2): 69–74.
9.
KellorMFrostJHSilberbergNIversenICummingsR. Hand strength and dexterity. Norms for clinical usage. Am J Occup Ther1971; 25: 77–83.
10.
MathiowetzVWiemerDFedermanS. Grip and pinch strength: Norms for 6 to 19 year olds. Am J Occup Ther1986; 40(10): 705–11.
11.
PronsatiM. Scientists create new ‘reality’ for use in patient evaluation. Advance Phys Ther1991; 15 Apr.
12.
FoxS. Virtual reality opens a brave new world. Advance for Occupational Therapists1990; 6(29): 12–15.
13.
MobergE. Surgical treatment for absent single hand grip and elbow extension in quadriplegia. J Bone Joint Surg (Am)1975; 57-A: 196–206.
14.
ZancolliE. Surgery for the quadriplegic hand with active, strong wrist extension preserved. A study of 97 cases. Clin Orthop1975; 112: 101–13.
15.
LambDWLandryRM. The hand in quadriplegia. Paraplegia1972; 9: 204–12.
16.
FordJRDuckworthB. Physical management for the quadriplegic patient. 2nd ed.Philadelphia: F A Davis, 1987.
17.
FessEGettleKSStricklandJW. Hand splinting: Principles and methods. St Louis, Missouri: CV Mosby, 1981.
18.
TierneyN. The development of tenodesis or a ‘trick’ pincer grip by the C6 quadriplegic. Proceedings of the 8th Conference of the World Federation of Occupational Therapists, Vol. 1. Hamburg: WFOT, 1982: 351.
19.
ParryWSalterMMillarD. Rehabilitation of the hand. 3rd edLondon: Butterworths, 1973.
20.
HillJ. In: Spinal cord injury. A guide to functional outcomes in occupational therapy. Rehabilitation Institute of Chicago, Procedure Manual. Chicago: Aspen Publications, 1986.
21.
MalickM. Manual of dynamic hand splinting with thermoplastic materials. 3rd ed.Pittsburgh: Harmarville Rehabilitation Centre. 1974.
22.
HunterJMSchneiderLHMackinCJCallahanAD. Rehabilitation of the hand, surgery and therapy. 3rd ed.St Louis, Missouri: CV Mosby, 1990.