Reabilitação na paralisia parcial do plexo braquial

Batista, Katia Torres; Araújo, Hugo José de

doi:10.1590/s1983-51752013000100030

Cited by 3 publications

(8 citation statements)

References 14 publications

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“…Most studies reported the affected nerve trunks, 9,16‐22,27‐38 of 356 reports (ie, combined total sample); 280/356 were classified as lesions in the three trunks and 76/356 as upper trunk injuries. One study 23 classified the BPI as total paralysis (n = 37 patients) and incomplete paralysis (n = 43 patients).…”

Section: Resultsmentioning

confidence: 99%

“…Six studies 22,24,26,42‐44 did not mention whether surgical procedures had been carried out or not, whereas the other studies that considered patients who had undergone any form of reconstructive surgery provided details regarding type of surgery, such as neurotization, neurolysis, and grafts 16,20,23,25,29,31,33,34,40 ; nerve transfers 16‐20,23,27,29,31‐36 ; and muscle transfers 17,23,27,45 . In nine studies, 9,21,28,30,37,41,46‐48 patients only underwent physical therapy.…”

Section: Resultsmentioning

confidence: 99%

“…Muscle strength was the most frequently assessed outcome (66.7%), 9,16,19,20,22‐24,27‐30,32,34,36‐38,40,41,43‐45,47 followed by superficial and/or deep sensitivity (42.4%), 9,20,22,24,27,28,37,38,40,41,43,45‐48 range of motion (ROM), 23,27‐29,32,34,38,40,43,46‐48 and pain 9,18,20,21,26,31,33,39,40,42,44,46 (36.4%). Limb function was assessed in six studies 17,18,32‐34,41 and quality of life 33,42,43,46 in four.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies 21,24 used identical physical therapy protocols for both conservative and surgical treatment approaches. Only 5 23,25,27,29,45 of the 18 studies involving patients who underwent surgical treatment described their preoperative physical therapy interventions. In addition, five review articles 8,49‐52 also described the physical therapy modalities used most commonly during the preoperative phase for individuals with BPI.…”

Section: Resultsmentioning

confidence: 99%

“…ROM exercises were performed in all stages of treatment with varied goals: increasing ROM while respecting patient tolerance 29,44 ; preventing and reducing early joint contractures and secondary deformities 28 ; pain relief 55 ; edema management 52 ; and facilitating upper limb positioning intra‐operatively 23,27 . ROM exercises were implemented in a progressive manner (ie, progressing from passive, to assisted, and finally to active states of motion) 44,45 .…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Physical therapeutic treatment for traumatic brachial plexus injury in adults: A scoping review

Chagas

Wanderley

Ferro

et al. 2021

PM&R

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Traumatic brachial plexus injury (BPI) is one of the most disabling injuries of the upper extremity, often requiring specialized treatment and a prolonged rehabilitation period. This scoping review was carried out to identify and describe the physical therapy modalities applied in the rehabilitation of adult individuals with BPI. Electronic databases, gray literature, and reference lists were searched, and studies meeting the following eligibility criteria were included: (a) interventions including any physical therapy modality; (b) individuals age ≥18 years old; and (c) a clinical diagnosis of BPI. The literature search yielded 681 articles of which 49 met the inclusion criteria and had their outcomes, treatment parameters, and the differences between conservative and pre‐ and postoperative treatment phases analyzed. The most commonly used physical therapy interventions were in the subfields of kinesiotherapy (ie, involving range of motion exercises, muscle stretching, and strengthening), electrothermal and phototherapy, manual therapy, and sensory re‐education strategies. Although several physical therapy modalities were identified for the treatment of BPI in this scoping review, the combination of low levels of evidence and the identified gaps regarding the treatment parameters challenge the reproducibility of such treatments in clinical practice. Therefore, future controlled clinical trials with clearer treatment protocols for individuals with BPI are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Physical therapeutic treatment for traumatic brachial plexus injury in adults: A scoping review

Chagas

Wanderley

Ferro

et al. 2021

PM&R

View full text Add to dashboard Cite

show abstract

Ventilation asymmetry, diaphragmatic mobility and exercise capacity in men with traumatic brachial plexus injury

Fuzari

Andrade

Barcelar

et al. 2022

Journal of Hand Therapy

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Motor recovery after bilateral brachial plexus injury using motor irradiation: a case report

Oliveira

Pedron

Andrade

et al. 2019

International Journal of Therapy and Rehabilitation

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Background/Aims Brachial plexus injuries impair functionality, interfere with the performance of activities and affect participation in social events, thus decreasing an individual's quality of life. In cases where there is a total loss of muscular strength, complete rehabilitation is challenging. Motor irradiation is a basic proprioceptive neuromuscular facilitation procedure that is used to activate weak muscles. It is a promising procedure for rehabilitation following brachial plexus injuries, mainly in those with total loss of muscle strength. Methods The patient in this case study had suffered bilateral brachial plexus injuries as a result of mechanical restraint during a psychiatric episode. He presented with decreased muscle strength in the proximal segments of the upper limbs, no movement of the wrists and fingers, tactile hypoesthesia and no pain sensation. Motor irradiation was the main intervention used to improve motor function. Findings At the end of treatment, complete and partial recovery of muscle strength was observed in the proximal and distal segments, respectively. Conclusions The efficacy of motor irradiation in improving muscle strength following brachial plexus injuries should be investigated in future clinical trials.

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Reabilitação na paralisia parcial do plexo braquial

Cited by 3 publications

References 14 publications

Physical therapeutic treatment for traumatic brachial plexus injury in adults: A scoping review

Physical therapeutic treatment for traumatic brachial plexus injury in adults: A scoping review

Ventilation asymmetry, diaphragmatic mobility and exercise capacity in men with traumatic brachial plexus injury

Motor recovery after bilateral brachial plexus injury using motor irradiation: a case report

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