As mentioned above, the ability to use the upper limbs is considered crucial to regain independence. A review of several studies showed that different training techniques may improve arm and hand functioning after cervical spinal cord injury, with tetraplegia as a consequence. There is some evidence that suggests that task-specific training (with functional electrical stimulation if the grasp function is to weak) is ideal to improve the hand function. Almost all studies showed an improvement in arm and hand function and/or activity level. Therefore a physical therapist should set individual goals for each patient and use a specific (suitable) training program to gain success.
If the surgeon and physician decide to use a procedure as mentioned above, the physiotherapist’s task will be to reinforce the muscle and learn the patient to control his muscle individually.