Patients’ experiences following severe, brachial plexus injury: a long-term, qualitative follow-up

Research output: Contribution to journalMeeting AbstractOtherpeer-review

Abstract

Introduction:Traumatic brachial plexus injuries (tBPIs) that damage the complete plexus (C5-T1) result in major functional disability. tBPIs generally occur as a result of high-speed, motorcycle accidents and affect young men. This patient group also generally have a number of other concomitant injuries that are often life threatening. Advances in surgical procedures are resulting in restoration of physical functioning that was not occurring 3-4 decades ago. Free-functioning muscle transfers (FFMTs)are one such example. However, despite improvements in surgical procedures, tBPI patients report chronic pain, changes in work circumstances, concerns about their appearance, increased reliance on others, and difficulty completing daily activities.This suggests that recovery needs to be considered in a more holistic, and potentially occupationally-meaningful manner.Objectives:1.Investigate the experiences of patients following free-functioning muscle transfersfor management of severe, brachial plexus injuries.2.Better understand issues during recovery and implications for rehabilitation with this population. Methods: A phenomenological, qualitative design was employed that involved 5 participants who underwent surgery between 2007 and 2015. In-depth, semi-structureinterviews were conducted and data were analysed using inductive, thematic analysis.Results: Three, interrelated themes were generated from the data: 1.Re-creating self-concept 2.Perceptions of health care 3.Revised realities and on-going considerations. Conclusion:Collectively these three themes suggest that the experience of FFMT surgery and rehabilitation are critical to recovery, but not able to address the breadth and nature of the challenges and changes occurring post injury and surgery. Recovery following severe, physically disabling injury have long-term, psychosocial consequences. While client-centred approaches are required to best respond toindividual needs following severe injury, common considerations that impact adaptation and re-engagement following tBPI have been identified
Original languageEnglish
Pages (from-to)81-81
Number of pages1
JournalAustralian Occupational Therapy Journal
Publication statusPublished - 2 Jul 2019
EventOccupational Therapy Australia National Conference and Exhibition 2019: Together Towards Tomorrow - International Convention Centre, Sydney, Australia
Duration: 10 Jul 201912 Jul 2019
Conference number: 28th
http://www.otaus2019.com.au/events/occupational-therapy-australia-28th-national-conference-and-exhibition-2019/event-summary-de4c35633e774e10beab607c7ad481cf.aspx

Keywords

  • Brachial plexus
  • qualitative
  • patient experiences

Cite this

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title = "Patients’ experiences following severe, brachial plexus injury: a long-term, qualitative follow-up",
abstract = "Introduction:Traumatic brachial plexus injuries (tBPIs) that damage the complete plexus (C5-T1) result in major functional disability. tBPIs generally occur as a result of high-speed, motorcycle accidents and affect young men. This patient group also generally have a number of other concomitant injuries that are often life threatening. Advances in surgical procedures are resulting in restoration of physical functioning that was not occurring 3-4 decades ago. Free-functioning muscle transfers (FFMTs)are one such example. However, despite improvements in surgical procedures, tBPI patients report chronic pain, changes in work circumstances, concerns about their appearance, increased reliance on others, and difficulty completing daily activities.This suggests that recovery needs to be considered in a more holistic, and potentially occupationally-meaningful manner.Objectives:1.Investigate the experiences of patients following free-functioning muscle transfersfor management of severe, brachial plexus injuries.2.Better understand issues during recovery and implications for rehabilitation with this population. Methods: A phenomenological, qualitative design was employed that involved 5 participants who underwent surgery between 2007 and 2015. In-depth, semi-structureinterviews were conducted and data were analysed using inductive, thematic analysis.Results: Three, interrelated themes were generated from the data: 1.Re-creating self-concept 2.Perceptions of health care 3.Revised realities and on-going considerations. Conclusion:Collectively these three themes suggest that the experience of FFMT surgery and rehabilitation are critical to recovery, but not able to address the breadth and nature of the challenges and changes occurring post injury and surgery. Recovery following severe, physically disabling injury have long-term, psychosocial consequences. While client-centred approaches are required to best respond toindividual needs following severe injury, common considerations that impact adaptation and re-engagement following tBPI have been identified",
keywords = "Brachial plexus, qualitative, patient experiences",
author = "Sara Brito and Nikos Thomacos and Bridget Hill and Ted Brown",
note = "Brito, S., Thomacos, N., White, J., Hill, B., & Brown, T. (2019). Patients’ experiences following severe, brachial plexus injury: a long-term, qualitative follow-up. Australian Occupational Therapy Journal, 66(Suppl. 1), 81. Paper presented at the Occupational Therapy Australia 28th National Conference and Exhibition “Together Towards Tomorrow”, 10–12 July 2019, International Convention Centre, Sydney, NSW, Australia. https://doi.org/10.1111/1440-1630.12585",
year = "2019",
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pages = "81--81",
journal = "Australian Occupational Therapy Journal",
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Patients’ experiences following severe, brachial plexus injury: a long-term, qualitative follow-up. / Brito, Sara; Thomacos, Nikos; Hill, Bridget; Brown, Ted.

In: Australian Occupational Therapy Journal, 02.07.2019, p. 81-81.

Research output: Contribution to journalMeeting AbstractOtherpeer-review

TY - JOUR

T1 - Patients’ experiences following severe, brachial plexus injury: a long-term, qualitative follow-up

AU - Brito, Sara

AU - Thomacos, Nikos

AU - Hill, Bridget

AU - Brown, Ted

N1 - Brito, S., Thomacos, N., White, J., Hill, B., & Brown, T. (2019). Patients’ experiences following severe, brachial plexus injury: a long-term, qualitative follow-up. Australian Occupational Therapy Journal, 66(Suppl. 1), 81. Paper presented at the Occupational Therapy Australia 28th National Conference and Exhibition “Together Towards Tomorrow”, 10–12 July 2019, International Convention Centre, Sydney, NSW, Australia. https://doi.org/10.1111/1440-1630.12585

PY - 2019/7/2

Y1 - 2019/7/2

N2 - Introduction:Traumatic brachial plexus injuries (tBPIs) that damage the complete plexus (C5-T1) result in major functional disability. tBPIs generally occur as a result of high-speed, motorcycle accidents and affect young men. This patient group also generally have a number of other concomitant injuries that are often life threatening. Advances in surgical procedures are resulting in restoration of physical functioning that was not occurring 3-4 decades ago. Free-functioning muscle transfers (FFMTs)are one such example. However, despite improvements in surgical procedures, tBPI patients report chronic pain, changes in work circumstances, concerns about their appearance, increased reliance on others, and difficulty completing daily activities.This suggests that recovery needs to be considered in a more holistic, and potentially occupationally-meaningful manner.Objectives:1.Investigate the experiences of patients following free-functioning muscle transfersfor management of severe, brachial plexus injuries.2.Better understand issues during recovery and implications for rehabilitation with this population. Methods: A phenomenological, qualitative design was employed that involved 5 participants who underwent surgery between 2007 and 2015. In-depth, semi-structureinterviews were conducted and data were analysed using inductive, thematic analysis.Results: Three, interrelated themes were generated from the data: 1.Re-creating self-concept 2.Perceptions of health care 3.Revised realities and on-going considerations. Conclusion:Collectively these three themes suggest that the experience of FFMT surgery and rehabilitation are critical to recovery, but not able to address the breadth and nature of the challenges and changes occurring post injury and surgery. Recovery following severe, physically disabling injury have long-term, psychosocial consequences. While client-centred approaches are required to best respond toindividual needs following severe injury, common considerations that impact adaptation and re-engagement following tBPI have been identified

AB - Introduction:Traumatic brachial plexus injuries (tBPIs) that damage the complete plexus (C5-T1) result in major functional disability. tBPIs generally occur as a result of high-speed, motorcycle accidents and affect young men. This patient group also generally have a number of other concomitant injuries that are often life threatening. Advances in surgical procedures are resulting in restoration of physical functioning that was not occurring 3-4 decades ago. Free-functioning muscle transfers (FFMTs)are one such example. However, despite improvements in surgical procedures, tBPI patients report chronic pain, changes in work circumstances, concerns about their appearance, increased reliance on others, and difficulty completing daily activities.This suggests that recovery needs to be considered in a more holistic, and potentially occupationally-meaningful manner.Objectives:1.Investigate the experiences of patients following free-functioning muscle transfersfor management of severe, brachial plexus injuries.2.Better understand issues during recovery and implications for rehabilitation with this population. Methods: A phenomenological, qualitative design was employed that involved 5 participants who underwent surgery between 2007 and 2015. In-depth, semi-structureinterviews were conducted and data were analysed using inductive, thematic analysis.Results: Three, interrelated themes were generated from the data: 1.Re-creating self-concept 2.Perceptions of health care 3.Revised realities and on-going considerations. Conclusion:Collectively these three themes suggest that the experience of FFMT surgery and rehabilitation are critical to recovery, but not able to address the breadth and nature of the challenges and changes occurring post injury and surgery. Recovery following severe, physically disabling injury have long-term, psychosocial consequences. While client-centred approaches are required to best respond toindividual needs following severe injury, common considerations that impact adaptation and re-engagement following tBPI have been identified

KW - Brachial plexus

KW - qualitative

KW - patient experiences

M3 - Meeting Abstract

SP - 81

EP - 81

JO - Australian Occupational Therapy Journal

JF - Australian Occupational Therapy Journal

SN - 0045-0766

ER -