Upper Extremity Transplant Rehabilitation Protocol.Indian J Plast Surg 2026 Feb; 59(1):37-44.IJ
BACKGROUND
Multilevel upper extremity transplant presents unique rehabilitation challenges due to the complexity of restoring function and integration across multiple joints and tissue types.
MATERIALS AND METHODS
This article outlines the development and implementation of a pioneering rehabilitation protocol designed specifically for recipients of upper extremity transplant.
RESULTS
The rehabilitation protocol was structured in four progressive phases, emphasizing early preservation, neuromuscular re-education, activities of daily living retraining, and return to society.
DISCUSSION
The initial phase focuses on correct patient selection and preparation, wound healing, edema management, and maintaining passive range of motion while protecting the vascular anastomoses. As healing progresses, a tailored exercise regimen incorporating mirror therapy, task-oriented activities, and proprioceptive training is introduced to facilitate cortical remapping and sensory recovery.
CONCLUSION
Multidisciplinary collaboration, including physiatrists and occupational or physical therapists, is crucial in addressing their recovery.
