Topic: volitional activation

After the peripheral nerve transfer procedure, cerebral plasticity is a prerequisite for regaining independent voluntary control over the limb. The changes that arise in the central nervous system after neurotransfers play a significant role in the functional outcome of surgery. We demonstrate, that the process of central disconnection of the motor program of the donor and recipient muscles can be evaluated by EMG synkinesis monitoring in both muscles.A total of 34 proximal nerve transfers in 21 patients with adult traumatic brachial plexus injury to restore shoulder abduction, external rotati