Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Single nerve transfer: Participants will undergo a single nerve transfer procedure for restoration of shoulder function (e.g., spinal accessory nerve to suprascapular nerve transfer), p
Sponsors
AIIMS Bathinda
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of traumatic brachial plexus injury confirmed by clinical examination, Electrodiagnostic and imaging studies. 2. Indication for surgical intervention based on the absence of spontaneous recovery after three months post-injury. 3. Ability to provide informed consent.
Exclusion criteria
Exclusion criteria: 1. Mentally unstable patient. 2. Patients of brachial plexus injury presenting more than 12 months after injury. 3. Associated severe neurological conditions or systemic diseases that may affect recovery 4. Inability to comply with follow-up assessments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder function assessed using: Medical Research Council (MRC) grading for shoulder abduction Quantitative measurement of active shoulder abduction (in degrees)Timepoint: Baseline (pre-operative) 3 months post-operatively 6 months post-operatively 9 months post-operatively The primary endpoint for final comparison between groups will be at 9 months post-surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 Functional outcomes measured by the Disabilities of the Arm, Shoulder & Hand (Quick DASH) score at three, six-, & nine-months post-surgery . 2 WHOQOL BREF Score for assessment of quality of life After brachial plexus injury . Timepoint: Baseline (pre-operative) 3 months post-operatively 6 months post-operatively 9 months post-operatively Final comparative analysis between the two groups will be performed at 9 months post-surgery, with interim trend analysis at earlier follow-up visits. | — |
Countries
India
Contacts
Public ContactDevinder Kumar
AIIMS Bathinda
Outcome results
None listed