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Cervical spinal cord injury (SCI) is a devastating event that results in upper limb paralysis, loss of independence, and disability. At an estimated lifetime cost of $3 million, cervical SCI places a substantial economic burden on the individual and the healthcare system. People living with cervical SCI have identified improvement of upper limb function as a top priority. Nerve and tendon transfer surgery has successfully restored upper limb function in cervical SCI, but is not universally used or available to all eligible individuals. The barriers preventing utilization of upper limb reconstruction are a complex interrelation of individual, healthcare provider and system level factors. Our exploratory qualitative study will use an implementation science approach to better understand these factors that influence access to upper limb reconstruction in the Canadian context and design an intervention to increase access to care.

Image Design: Little Nrg Prints, littlenrgprints.etsy.com. Used with permission.

Students:

Dr. Jana Dengler

MD, MASc, BASc

Hand and Nerve Surgeon, Division of Plastic Surgery, Sunnybrook Health Sciences Centre, Assistant Professor, Department of Surgery, University of Toronto

Ms. Michelle Jennett

Ms. Maytal Perlman

BKI (Bachelor of Knowledge Integration, Speech Communication Minor, Collaborative Design Specialization)

Capstone Supervisor:

Ms. Edyta Marcon

MSc, PhD, MHSc
Senior Research Associate, Donnelly Centre, University of Toronto
Concept Translator, Lecturer, TRP

Capstone Advisory Committee:

Kristin

BSc, BScPT, MSc, PhD
University of Toronto
Assistant Professor

Anita

PhD Student

Sander

PhD
University of Toronto
Assistant Professor

Melanie

PhD, CPsych
The Hospital for Sick Children
Psychologist and Health Systems Research Scientist

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Dr. Jana Dengler

MD, MASc, BASc

Hand and Nerve Surgeon, Division of Plastic Surgery, Sunnybrook Health Sciences Centre, Assistant Professor, Department of Surgery, University of Toronto

Ms. Michelle Jennett

Ms. Maytal Perlman

BKI (Bachelor of Knowledge Integration, Speech Communication Minor, Collaborative Design Specialization)

{!{types field=’problem’}!}{!{/types}!}

Cervical spinal cord injury (SCI) is a devastating event that results in upper limb paralysis, loss of independence, and disability. At an estimated lifetime cost of $3 million, cervical SCI places a substantial economic burden on the individual and the healthcare system. People living with cervical SCI have identified improvement of upper limb function as a top priority. Nerve and tendon transfer surgery has successfully restored upper limb function in cervical SCI, but is not universally used or available to all eligible individuals. The barriers preventing utilization of upper limb reconstruction are a complex interrelation of individual, healthcare provider and system level factors. Our exploratory qualitative study will use an implementation science approach to better understand these factors that influence access to upper limb reconstruction in the Canadian context and design an intervention to increase access to care.

Image Design: Little Nrg Prints, littlenrgprints.etsy.com. Used with permission.

Capstone Supervisor:

Ms. Edyta Marcon

MSc, PhD, MHSc
Senior Research Associate, Donnelly Centre, University of Toronto
Concept Translator, Lecturer, TRP

Capstone Advisory Committee:

Kristin

BSc, BScPT, MSc, PhD
University of Toronto
Assistant Professor

Anita

PhD Student

Sander

PhD
University of Toronto
Assistant Professor

Melanie

PhD, CPsych
The Hospital for Sick Children
Psychologist and Health Systems Research Scientist