Assessment of Self‐Determination in Adolescents with Neonatal Brachial Plexus Palsy

Bergman, Donna; Rasmussen, Lynnette; Chang, Kai-Ting; Yang, Lynda J.‐S.; Nelson, Virginia S.

doi:10.1016/j.pmrj.2017.06.013

Cited by 6 publications

(3 citation statements)

References 36 publications

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“…As a result of the pathology, some residual deformities can be observed (depending on the location, type and extension of the involvement), such as contracture in internal rotation, with shoulder adduction without joint deformity or dislocation; It is noted that the patient who had involvement of the entire brachial plexus or the inferior plexus presents a slower and more incomplete recovery than the one who had only the superior plexus affected. As soon as the affected limb is detected, it must be kept at rest with bandaging in adduction and medial rotation for at least three weeks to wait for the resolution of the acute reaction due to edema and bruises and the reduction of pain, after which exercises are indicated for the prevention of future retraction and the promotion of functional use 13 .…”

Section: Discussionmentioning

confidence: 99%

“…promote motor and sensory stimulation; maintain range of motion and functional training. Among the techniques available to these professionals, passive and active kinesiotherapy, electrostimulation, proprioceptive stimulation, hydrotherapy and Restraint and Movement Induction Therapy can be highlighted, always creating the best possible conditions for the recovery of this individual's functional capacity [13][14][15][16] . Physical therapy can and should be started soon after diagnosis, in order to maximize the recovery of the affected limb.…”

Section: Physical Therapy Goals Basically Consist On Avoiding Contractures and Adhesions;mentioning

confidence: 99%

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Early intervention in obstetric brachial palsy: a review/ Intervenção precoce na paralisia braquial obstetrica: uma revisão

Barbosa¹,

Machado²,

Arantes³

et al. 2021

BJDV

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Obstetric brachial paralysis is the end of an injury to the nerve fibers of the brachial plexus during obstetric maneuvers during childbirth. The injury has a great impact on the functionality of the injured upper limb of the newborn. The signs and symptoms vary, depending on the location of the lesion. The early intervention of the physiotherapist in the rehabilitation process is essential to prevent complications and improve motor function. Physiotherapeutic treatment has a very important contribution to the rehabilitation of children with obstetric brachial palsy, however, it is important to respect the neuropsychomotor development process normal child. The physiotherapy objectives basically consists on avoiding contractures and adhesions; promoting motor and sensory stimulation; maintaining range of motion and functional training. Among the techniques that these professionals have, we can highlight passive and active kinesiotherapy, electrostimulation, proprioceptive stimulation, hydrotherapy and Movement Induction and Containment Therapy (MICT), always creating the best possible conditions for the recovery of this individual's functional capacity.

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Section: Discussionmentioning

confidence: 99%

Section: Physical Therapy Goals Basically Consist On Avoiding Contractures and Adhesions;mentioning

confidence: 99%

Early intervention in obstetric brachial palsy: a review/ Intervenção precoce na paralisia braquial obstetrica: uma revisão

Barbosa¹,

Machado²,

Arantes³

et al. 2021

BJDV

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“…Obstetric brachial plexus injury (OBPI) is a type of peripheral neuropathy of the upper extremity that is typically caused by traction on the newborn during childbirth [ 1 ]. Due to its etiology, it is also known as brachial plexus birth injury or neonatal brachial plexus palsy [ 2 , 3 ]. Macrosomia, shoulder dystocia, and breech vaginal birth are the most common risk factors for OBPI.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness and Safety of Botulinum Neurotoxin in Obstetric Brachial Plexus Injury: A Systematic Review and Meta-Analysis

Chen

Lin

et al. 2022

Healthcare

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Obstetric brachial plexus injury, also known as neonatal brachial plexus injury, is not unusual in newborns. Given the lack of a comprehensive synthesis of the available data on the effectiveness of botulinum neurotoxin (BoNT) in treating children with obstetric brachial plexus injury, we conducted a systematic review and meta-analysis. We searched PubMed, Embase, Web of Science, and Cochrane databases from inception to 25 November 2022. Outcomes were function of the shoulder and elbow joints, muscle power of the deltoid, biceps brachii and triceps brachii, and the recurrence rate of subluxation or dislocation after reduction of the shoulder joint after BoNT application. Meta-regression was conducted to assess the moderator effect of age. We included 11 case series and 2 cohort studies. Passive range of motion of shoulder external rotation (standardized mean difference [SMD], 0.678; 95% confidence interval [95%CI], 0.423 to 0.934), Active Movement Scale for shoulder external rotation (SMD, 0.47; 95%CI, 0.131 to 0.808), and active range of motion of elbow extension (SMD, 2.445; 95%CI, 1.556 to 3.334) increased significantly after BoNT. However, the modified Gilbert scale for shoulder abduction (SMD, 1.239; 95% CI, −0.2 to 2.678), the Toronto score for active elbow flexion (SMD, 1.099; 95% CI, −0.053 to 2.252), muscle power of deltoid (SMD, 0.675; 95% CI, −0.599 to 1.949), biceps brachii (SMD, 0.225; 95% CI, −0.633 to 1.083), and triceps brachii (SMD, 1.354; 95% CI, −1.493 to 4.202) did not reach statistical significance. The moderator effect of age was not significant (p = 0.88). Meta-analysis was not done for recurrence rate of subluxation or dislocation due to insufficient data. In conclusion, our data support BoNT use in patients with obstetric brachial plexus injury. However, definite conclusions cannot be drawn due to small sample size and the lack of randomized controlled trials. More research is warranted to clarify the effectiveness of BoNT in patients with obstetric brachial plexus injury by using standardized injection protocols and outcome measurements.

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Microsurgery for Obstetrical Brachial Plexus Birth Palsy

Davidge,

Swan,

Clarke

2023

The Pediatric Upper Extremity

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Assessment of Self‐Determination in Adolescents with Neonatal Brachial Plexus Palsy

Abstract: III.

Cited by 6 publications

References 36 publications

Early intervention in obstetric brachial palsy: a review/ Intervenção precoce na paralisia braquial obstetrica: uma revisão

Early intervention in obstetric brachial palsy: a review/ Intervenção precoce na paralisia braquial obstetrica: uma revisão

The Effectiveness and Safety of Botulinum Neurotoxin in Obstetric Brachial Plexus Injury: A Systematic Review and Meta-Analysis

Microsurgery for Obstetrical Brachial Plexus Birth Palsy

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