{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:56:28Z","timestamp":1792090588159,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T00:00:00Z","timestamp":1653696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008002","name":"Vancouver Coastal Health Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nerve transfer surgery has the potential to restore upper limb function in patients with spinal cord injury (SCI); however, there has been limited exploration of patient perception of nerve transfer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the perspectives of patients with chronic SCI (&gt;2\u2009years from injury) on nerve transfer surgery, and to determine if an educational intervention improved participants' perceived knowledge levels about the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Mixed\u2010methods study including qualitative semi\u2010structured interviews and self\u2010reported rating scales. Pre\u2010 and post\u2010interviews were completed following an educational presentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Two local SCI clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Ten patients with chronic traumatic SCI and neurological level of injury C3\u2010C7 (motor complete or incomplete), recruited via snowball sampling (six male, four female).<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>An educational slide presentation on nerve transfer concepts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The primary study outcome measure is the participants' responses to interview questions. The secondary study outcome measure is their self\u2010reported knowledge levels of nerve transfer before and after education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regaining upper limb function was a priority for all participants. Although most participants had heard of nerve transfer, none were offered it at the time of their SCI, and only two stated that they had any peers who had undergone the procedure. The educational module significantly increased self\u2010rated scores on understanding of nerve transfer (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). Although all participants were open to nerve transfer after the educational module, they described weighing different factors, including (1) potential for loss versus gain of function, (2) inadequate knowledge about nerve transfer, (3) recovery time, and (4) determining their eligibility for the surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggest that people with SCI have limited understanding of nerve transfer as a potential option and would benefit from educational opportunities to help them make informed decisions. This study may inform the development of patient resources to improve pre\u2010surgical consultation and informed decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12811","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T06:33:35Z","timestamp":1648622015000},"page":"579-586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Patient perspectives and self\u2010rated knowledge of nerve transfer surgery for restoring upper limb function in spinal cord injury"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8145-827X","authenticated-orcid":false,"given":"Mariam","family":"Manna","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Ben","family":"Mortenson","sequence":"additional","affiliation":[{"name":"Department of Occupational Science and Occupational Therapy, Faculty of Medicine University of British Columbia, Vancouver, British Columbia, Canada; International Collaboration on Repair Discoveries (ICORD),Vancouver, British Columbia, Canada; GF Strong Rehabilitation Research Program  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahareh","family":"Kardeh","sequence":"additional","affiliation":[{"name":"Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Rehabilitation Research Program GF Strong Rehabilitation Research Program  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Douglas","sequence":"additional","affiliation":[{"name":"University of Victoria  Victoria British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Marks","sequence":"additional","affiliation":[{"name":"Praxis Spinal Cord Institute  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M.","family":"Krauss","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery University of British Columbia  Victoria British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7121-3770","authenticated-orcid":false,"given":"Michael J.","family":"Berger","sequence":"additional","affiliation":[{"name":"International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Division of Physical Medicine &amp; Rehabilitation, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001641"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2012.10.001"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/2152\u20107806.84392"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2015.12.013"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3171\/2019.4.spine19173"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(19)31143\u20102"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/2019.4.SPINE19399"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1310\/sci2403\u2010275"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2021.0247"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11552\u2010014\u20109677\u2010z"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3171\/2016.5.SPINE151544"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2018.03.013"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2008.06.001"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2015.12.014"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2004.21.1371"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101638"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.10.007"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.11.022"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010240X(200006)23:3<246::AID\u2010NUR9>3.0.CO;2\u2010H"},{"key":"e_1_2_10_21_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell JW","year":"2011"},{"key":"e_1_2_10_22_1","unstructured":"GRAMMS| Keywords | The EQUATOR Network. 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