C7 Nerve Transfer

C7 nerve transfer is a reconstructive microsurgical technique that redirects the seventh cervical nerve root or its fascicles to restore function after severe nerve injury, particularly brachial plexus damage. Surgeons connect donor C7 fibers, often from the unaffected side, to damaged nerves in the affected limb using an interposed nerve graft; regenerating axons then extend toward target muscles and sensory pathways, while the nervous system adapts to new motor control. The procedure can improve voluntary movement and sensation in selected patients, although recovery depends on injury severity, surgical timing, axonal growth, and rehabilitation. It also provides a model for studying neural regeneration and cortical plasticity.

C7 Nerve Transfer - Related Videos

Research

JoVE EoE - Neurotherapeutics

Gene Transfer into Schwann Cells of the Rodent Sciatic Nerve via Electroporation

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2025

Source: Ino, D. et. al., In Vivo Gene Transfer to Schwann Cells in the Rodent Sciatic Nerve by Electroporation. J. Vis. Exp. (2016)This video demonstrates in vivo gene transfer to Schwann cells of the rodent sciatic nerve using electroporation. A plasmid DNA–dye solution is injected into the nerve, and electric pulses facilitate DNA entry. The DNA later integrates into the cell’s genome, enabling successful gene transfer in Schwann cells.

Direct Reconnection of Cervical Nerves to Restore Forelimb Mobility in a Mouse

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2025

Source: Gao, Z., et al. A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery. J. Vis. Exp. (2021).This video demonstrates restoring forelimb movement in a mouse via direct cervical nerve reconnection. It begins with a mouse with a paralyzed right forelimb due to a transected right C7 nerve at its nerve root. The left C7 nerve is severed, guided to the right via the prespinal route, and sutured with the right C7 nerve. The surgical site is then cleaned...

Research

JoVE Journal - Neuroscience
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In Vivo Gene Transfer to Schwann Cells in the Rodent Sciatic Nerve by Electroporation

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Cited by 4 •

2016

Here, we present an in vivo technique for gene transfer to Schwann cells (SCs) in the rodent sciatic nerve. This simple technique is useful for investigating signaling mechanisms involved in the development and maintenance of myelinating SCs.

Research

JoVE Journal - Medicine
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Structured Motor Rehabilitation After Selective Nerve Transfers

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Cited by 20 •

2019

Here, we present a protocol for the motor rehabilitation of patients with severe nerve injuries and selective nerve transfer surgery. It aims at restoring the motor function proposing several stages in patient education, early-stage therapy after surgery and interventions for rehabilitation after successful re-innervation of the nerve’s target.

Research

JoVE Journal - Medicine
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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

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Cited by 3 •

2021

This work presents a protocol to enhance prosthetic function after selective nerve transfer surgery. Rehabilitation interventions include patient information and selection, support of wound healing, cortical re-activation of sensory-motor areas of the upper limb, training of selective muscle activation, prosthetic handling in daily life, and regular follow-up assessments.

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