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Nerve Transfer to Improve Function in High Level Tetraplegia

RecruitingObservational study

Nerve Transfer to Restore Upper Limb Function and Quality of Life in High Tetraplegia

Who can join

Ages 18 to 80 · All sexes

Full eligibility criteria
Inclusion Criteria:

* 18-80 years of age
* High cervical SCI (motor level C1-C4)
* Motor complete SCI AIS grade A-B
* Plateaued spontaneous recovery for at least 6 months of non-operative therapy
* SCI greater than 6 months and fewer than 60 months since injury
* At least MRC 4/5 donor strength
* Mentally and physically willing and able to comply with evaluations

Exclusion Criteria:

* Active infection at the operative site or systemic infection
* Any return or ongoing recovery of distal motor function
* Significant joint contractures and/or limitations in passive range of motion in the arm
* Mentally or physically compromised making it impossible to complete study activities
* Immunologically suppressed
* Currently undergoing long-term steroid therapy
* Active malignancy
* Pregnancy

About the study

The goal of this observational study is to determine if nerve transfer surgeries improve upper extremity function and quality of life in patients with a high level cervical spinal cord injury.

Participants will:

* undergo standard of care pre- and post-op testing and study exams * complete pre- and post-questionnaires * undergo standard of care nerve transfer surgeries * follow-up with surgeon at 6/12/18/24/36 and potentially at 48 months * attend therapy at local therapist for up to 2 years postop.

Sponsor: Washington University School of Medicine · Participants: 30 · Started: Feb 5, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06288763

Locations in the U.S.

CaliforniaStanford University, Stanford
FloridaUniversity of Miami, Miami
MarylandJohns Hopkins University, Baltimore
MichiganUniversity of Michigan, Ann Arbor
MissouriWashington University in St. Louis, St Louis
North CarolinaWake Forest Medical Center, Winston-Salem
PennsylvaniaUniversity of Pennsylvania, Philadelphia
TexasHouston Methodist, Houston
UtahUniversity of Utah, Salt Lake City

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.