{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:05:33Z","timestamp":1777853133257,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Spasticity is a common and increasingly prevalent secondary complication of spinal cord injury. The aim of the study was to evaluate patient-experienced gains in prioritized activities after surgery to reduce the effects of spasticity in upper limbs in tetraplegia. The study includes evaluation of 30 operations for 27 patients performed on hypertonic tetraplegic hands during 2007\u20132015 using the Canadian Occupational Performance Measure. Activity performance increased at both 6 months and 12 months by a mean of 3.0 and 2.9 points, respectively. Satisfaction increased by 3.3 and 3.4, respectively. All types of activities improved, with wheelchair manoeuvring as one of the highest rated. The intervention increased prioritized activity performance and persisted at least 12 months after surgery. Patients with mild upper limb impairment showed greater improvement after surgery. After operation, patients were able to perform 71% of their prioritized activities, which they could not perform before. Patients\u2019 satisfaction with the performance was high.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193418758852","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:37:14Z","timestamp":1519864634000},"page":"613-620","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Activity gains after upper limb surgery for spasticity in patients with spinal cord injury"],"prefix":"10.1177","volume":"43","author":[{"given":"Johanna","family":"Wangdell","sequence":"first","affiliation":[{"name":"Centre of Advanced Reconstruction of Extremities, Sahlgrenska University Hospital, Gothenburg, Sweden"},{"name":"Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carina","family":"Reinholdt","sequence":"additional","affiliation":[{"name":"Centre of Advanced Reconstruction of Extremities, Sahlgrenska University Hospital, Gothenburg, Sweden"},{"name":"Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Frid\u00e9n","sequence":"additional","affiliation":[{"name":"Centre of Advanced Reconstruction of Extremities, Sahlgrenska University Hospital, Gothenburg, Sweden"},{"name":"Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden"},{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,2,28]]},"reference":[{"key":"bibr1-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101757"},{"key":"bibr2-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(02)00021-5"},{"key":"bibr3-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2016.46"},{"key":"bibr4-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2015.230"},{"key":"bibr5-1753193418758852","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2039"},{"key":"bibr6-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1310\/LN94-NMVK-59V3-CC1F"},{"key":"bibr7-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2012.25"},{"key":"bibr8-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2012.58"},{"key":"bibr9-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.10.028"},{"key":"bibr10-1753193418758852","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101317"},{"key":"bibr11-1753193418758852","first-page":"87","author":"Lagerstr\u00f6m A-C","year":"2014","journal-title":"Stockholm, Spinalis"},{"key":"bibr12-1753193418758852","unstructured":"Law MC, Baptiste S, Carswell A, McColl MA, Polatajko H, Pollock N.\n                      Canadian occupational performance measure\n                      . 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