Brachial plexus injured patient who underwent phrenic nerve transfer or other nerve transfer Phrenic nerve Nerve transfer Brachial plexus Brachial plexus injury Brachial plexus palsy pulmonary function test Diaphragmatic paralysis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. traumatic brachial plexus injured patient who underwent nerve transfer to restore elbow flexion or shoulder abduction at Siriraj hospital at least 5 years 2. age 40 and above at operation time 3. available preoperative pulmonary function test
Exclusion criteria
Exclusion criteria: 1. history of chest trauma 2. evidence of pre-existing pulmonary disorders before nerve transfer surgery e.g. COPD, asthma, or congestive heart failure 3. pre-operative diagnosis of diaphragmatic paralysis 4. negative intra-operative phrenic nerve stimulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FVC (Forced Vital Capacity) At least 5 years after surgery %predicted | — |
Secondary
| Measure | Time frame |
|---|---|
| FEV1 (Forced Expiratory Volume in one second) At least 5 year after surgery %predicted,FEV1/FVC At least 5 year after surgery %predicted,Supine FVC At least 5 year after surgery %predicted and litre (L),MIP (Maximal Inspiratory Pressure) At least 5 year after surgery cmH2O,MEP (Maximal Expiratory Pressure) At least 5 year after surgery cmH2O,mMRC ( modified Medical Research Council dyspnea scale) At least 5 year after surgery Scale (0-4),Quality of Life (EQ-5D-5L) At least 5 year after surgery Score | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj hospital, Mahidol university, Thailand