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F - Reaching, Grasping and Manipulation

REPORT CARD: Reaching, Grasping and Manipulation KNOWLEDGE GENERATION CLINICAL APPLICATION POLICY CHANGE Innovaon/Discovery Integrave Care Environmental Shi Emerging Evidence Outcome Measures Resource Capacity Take Home Mesage: Canadian rehabilitation health professionals and engineers lead internationally, with the design of novel and meaningful assessments, and the development of new therapeutic approaches to enhance recovery of upper limb function, for individuals with tetraplegia. Adoption of these approaches nationally would enhance rehabilitation services for individuals with tetraplegia. Secondly, priority attention should be given to developing rehabilitation strategies to address shoulder injuries for individuals who depend on their upper limbs for transfers and wheelchair propulsion. Development of a nationally focused, integrated team of researchers and clinicians would be a logical first step. Resources Effecve Pracce (Evidence and Outcomes) Equity Pracce Capacity Change Agents Societal Awareness Community Capacity 2020 PRIORITY 3 2020 PRIORITY 1 2020 PRIORITY 2 1. Snoek GJ. Survey of the needs of patients with spinal cord injury: impact and priority for improvement in hand function in tetraplegics. Spinal Cord. 2004;42(9):526-32. 2. Kalsi-Ryan S, Verrier MC. A synthesis of best evidence for the restoration of upper extremity function in people with tetraplegia. Physiother Can. 2011;63(4):474-89. 3. Kalsi-Ryan S, Curt A, Fehlings MG, Verrier MC. Assessment of the hand in tetraplegia using the graded redefined assessment of strength sensibility and prehension (GRASSP): impairment versus function. Top Spinal Cord Inj Rehabil. 2009;14(4):34-46. 4. Connolly SJ, Mehta S, Foulon BL, Teasell RW, Aubut JL. Upper limb rehabilitation following spinal cord injury. In: Eng JJ, Teasell RW, Miller WC, et al., eds. Spinal Cord Injury Rehabilitation Evidence. Version 4.0. Vancouver, BC; 2012. 5. Popovic MR, Kapadia N, Zivanovic V, Furlan JC, Craven BC, McGillivray C. Functional electrical stimulation therapy of voluntary grasping versus only conventional for patients with subacute incomplete tetraplegia: a randomized clinical trial rehabilitation. Neurorehabil Neural Repair. 2011;25(5):433-42. 6. Stienen AH. Development of Novel Devices for Upper-Extremity Rehabilitation dissertation. Enschede, The Netherlands: University of Twente; 2009. 7. Kowalczewski J, Chong SL, Galea M, Prochazka A. In-home tele-rehabilitation improves tetraplegic hand function. Neurorehabil Neural Repair. 2011;25(5):412-22. 8. Paralyzed Veterans of America Consortium for Spinal Cord Medicine. Preservation of upper limb function following spinal cord injury: a clinical practice guideline for healthcare professionals. J Spinal Cord Med. 2005;28(5):434-70. 74 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


F - Reaching, Grasping and Manipulation
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