Research recommendation(s) from an individual piece of guidance Guidance: Nerve transfer to partially restore upper limb function in tetraplegia Date issued: 24 April 2018 Research recommendations coming out of this guidance The evidence on efficacy of nerve transfer to partially restore upper limb function in tetraplegia is limited in quantity. There are no major safety concerns. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research.