FESFunctional Electrical Stimulation in Tetraplegic Reconstructive Hand Surgery

This study focuses on the use of Functional Electrical Stimulation (FES) in patients with tetraplegia who are undergoing reconstructive surgery for their arms or hands. Tetraplegia often results in limited arm and hand function, and FES is a method used to enhance muscle activity. The research aims to determine if using FES before and after surgery can improve muscle strength and function compared to the standard therapy alone. This could potentially lead to better outcomes for individuals with tetraplegia, providing them with improved ability to use their arms and hands, which is crucial for daily activities and independence. Participants in the study include 30 tetraplegic patients scheduled for reconstructive surgery at the Swiss Paraplegic Centre. They are divided into two groups: one receiving standard physical and occupational therapy, and the other receiving the same therapy with additional FES. The FES treatment involves sessions three times a week, each lasting 30 minutes, for three months both before and after surgery. Researchers will measure changes in muscle strength and function at four different points in time, using tests like muscle strength measurements and ultrasound to assess muscle volume. This will help determine the effectiveness of FES in enhancing surgical outcomes for these patients.