Effects of Sensory Reeducation Programs on Functional Hand Sensibility after Median and Ulnar Repair: A Systematic Review

Abstract Introduction This is the first systematic review looking at the effectiveness of sensory re-education programmes on functional sensibility which focuses purely on clinical trials of adult patients with median and ulnar nerve injuries. Methods A literature search of AMED, CINAHL, Embase and...

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Bibliographic Details
Published in:Journal of hand therapy 2012-07, Vol.25 (3), p.297-307
Main Authors: Miller, Leanne K., BSc (Hons), Chester, Rachel, GradDipPhys, MSc, Jerosch-Herold, Christina, DipCOT, MSc, PhD
Format: Article
Language:English
Subjects:
Clinical trials
Hand - innervation
Humans
Injuries
Intervention
Median Nerve - injuries
Median Nerve - surgery
Medical imaging
Physical Medicine and Rehabilitation
Physical Therapy Modalities
Postoperative period
Sensation Disorders - etiology
Sensation Disorders - rehabilitation
Studies
Ulnar Nerve - injuries
Ulnar Nerve - surgery
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Summary:Abstract Introduction This is the first systematic review looking at the effectiveness of sensory re-education programmes on functional sensibility which focuses purely on clinical trials of adult patients with median and ulnar nerve injuries. Methods A literature search of AMED, CINAHL, Embase and OVID Medline (from inception to July 2011) was undertaken. Studies were selected if they met the following inclusion criteria: controlled trials (with or without randomization) of sensory re-education, including early and late phase, in adults with median and/or ulnar nerve repair. Two independent assessors rated study quality and risk of bias using the 24 point MacDermid Evaluation Tool. Results A total of seven articles met the inclusion criteria representing five separate studies Study quality ranged from 13 to 33 out of 48 points on the Evaluation Tool. Due to heterogeneity of the interventions and outcomes assessed it was not possible to pool the results from all studies. There is limited evidence to support the use of early and late SR programmes. Conclusion Further trials are needed to evaluate the effect of early and late sensory re-education which are adequately powered, include validated and relevant outcomes and which are reported according to CONSORT (Consolidated Standards of Reporting Trials) guidelines. Level of Evidence 2b.
ISSN:0894-1130
1545-004X
DOI:10.1016/j.jht.2012.04.001