Are there specific characteristics that you look for when choosing candidates for either tendon transfers or FES implantation?
Answer
This usually varies by procedure. When selecting candidates for tendon transfers, we want someone who is motivated and willing to commit their full effort and time into making the procedure a success. They will often be immobilized for many weeks in a cast and need to have full time care. They need to have the support in place to make this work.
With research procedures, such as FES implantation or neuroprosthesis, the bar is set even higher as we have limited research dollars to spend. We carefully choose our candidates based on their willingness to work hard, the strength of the muscles and their response to stimulation and their overall good health. Often with spinal cord injuries there are comorbid conditions such as urinary tract infections or decubitus ulcers. We want to make sure that our candidates are not affected by these afflictions before we start our trial so that we can ensure the best outcomes possible.
Anne Bryden, OTR/L
Anne Bryden, OTR/L is an Occupational Therapist and Research Manager at Case Western Reserve University/The Cleveland FES Center. She graduated in 1991 with a Bachelors of Science in Occupational Therapy from Cleveland State University. Her responsibilities include developing and implementing assessment procedures to determine the efficacy of reconstructive procedures in people with tetraplegia, including tendon transfers and neuroprostheses. She is in collaboration with therapists internationally to develop a multi-center study to measure the impact of UE reconstructive surgery. Additionally, she has authored and co-authored journal articles related to spinal cord injury and rehabilitation.
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