Limited Glenohumeral Cross-body Adduction in Children With Brachial Plexus Birth Palsy

Russo, Stephanie A.; Loeffler, Bryan J.; Zlotolow, Dan A.; Kozin, Scott H.; Richards, James G.; Ashworth, Sarah

doi:10.1097/bpo.0000000000000242

Cited by 34 publications

(16 citation statements)

References 28 publications

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“…This sarcomere elongation correlated with contracture severity, and indicates fewer sarcomeres in series in the whole muscle (22), or impaired longitudinal whole muscle growth. This finding that neuromuscular contractures are caused by muscle that has failed to grow normally in length as a direct result of denervation, independent of the mechanical environment, has been replicated in subsequent animal (23,24), clinical (25)(26)(27), and computational analysis (28,29) studies. Therefore, our previous data indicate that defects in muscle growth are the initiating cause of contractures.…”

Section: Introductionmentioning

confidence: 72%

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Nikolaou¹,

Cramer

Hu³

et al. 2019

JCI Insight

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Section: Introductionmentioning

confidence: 72%

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Nikolaou¹,

Cramer

Hu³

et al. 2019

JCI Insight

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“…Neonatal brachial plexus palsy (NBPP) could result in weakness of biceps, deltoid, and external rotators of shoulder, as well as an eventual development of contractures. 1 The incidence of NBPP in the United States is of 1.5 per 1,000 births and in other countries, 1.3 per 1,000 births. 2 Usually, NBPP cases resolve spontaneously, but functional deficits persist in approximately 20% of the cases.…”

Section: Introductionmentioning

confidence: 99%

“…5 Performing simple daily tasks can be difficult for NBPP children. 1 Some of them undergo several types of treatment, including surgical interventions and therapeutic rehabilitation. Early home management with parent involvement is necessary to improve the upper limb function.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life and Upper Limb Function of Children With Neonatal Brachial Plexus Palsy

Medeiros

Agostinho

Mochizuki

et al. 2020

Rev. paul. pediatr.

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Objective: To compare the upper limb function and quality of life between children with neonatal brachial plexus palsy and controls with unaffected brachial plexus (typical children). Methods: Twenty-four children with neonatal brachial plexus palsy and 24 typical ones were evaluated, both groups with 10±3 years of age. The upper limb function was assessed by the Modified Mallet Scale and the Active Movement Scale, whereas quality of life was analyzed by the Pediatric Outcome Data Collection Instrument and the Child Health Questionnaire. Mann-Whitney U tests investigated the differences between groups in such scales. Results: Children with neonatal brachial plexus palsy presented lower limb function compared to typical children in both scales. These children also presented lower scores for most of the Pediatric Outcome Data Collection Instrument domains, except for comfort/pain. In addition, they had lower scores in the following domains of the Child Health Questionnaire: physical functioning, pain, behavior, mental health, overall health perception, emotional impact on parents, and psychosocial summarized score. Conclusions: Neonatal brachial plexus palsy has a negative influence on upper limb function and quality of life, mainly considering overall health, basic mobility, physical and psychosocial functions, happiness, pain, behavior, mental health, upper limb function, and emotional impact on their parents. Objetivo: Comparar a função do membro superior e a qualidade de vida entre crianças com paralisia obstétrica do plexo braquial e aquelas sem paralisia do plexo braquial (crianças usuais). Métodos: Foram avaliadas 24 crianças com paralisia obstétrica do plexo braquial e 24 crianças usuais, ambos os grupos com 10±3 anos. A função do membro superior foi avaliada pela Escala Mallet Modificada e Active Movement Scale, já a qualidade de vida foi analisada por meio das escalas Pediatric Outcome Data Collection Instrument e Child Health Questionnaire. Foram realizados testes U de Mann-Whitney para investigar diferenças entre os grupos nas escalas. Resultados: Crianças com paralisia obstétrica do plexo braquial apresentaram menor função do membro superior quando comparadas às crianças usuais, em ambas as escalas utilizadas. Essas crianças também apresentaram menores pontuações para a maioria dos domínios do Pediatric Outcome Data Collection, exceto para conforto/dor. Além disso, apresentaram escores inferiores nos seguintes domínios do Child Health Questionnaire: função física, dor, comportamento, saúde mental, percepção da saúde em geral, impacto emocional nos pais e pontuação psicossocial resumida. Conclusões: A paralisia obstétrica do plexo braquial tem uma influência negativa na função do membro superior e na qualidade de vida, principalmente em relação à saúde geral, mobilidade básica, funções física e psicossocial, felicidade, dor, comportamento, saúde mental, funcionalidade do membro superior e impacto emocional nos pais. Palavras-chave: Criança; Qualidade de vida; Extremidade superior; Movimento; Plexo braqu...

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“…4,5,11,25,27,28 The mainstay of treatment has been passive GH external rotation stretching with scapular stabilization, 4e6, 9,12,13,23,25,28,29 but passive GH stretching in other planes, such as abduction, while maintaining scapular stabilization has also been recommended. 4,12,30 This intervention requires a therapist or caretaker to stabilize the scapula firmly against the rib cage while positioning the humerus into the desired orientation. This practice is based on the theory that stabilizing the scapula against the rib cage allows for a more focused stretch of the GH joint to achieve maximal range of motion, 5,9,13,29 but this has not been evaluated objectively.…”

mentioning

confidence: 99%

Scapular Stabilization Limits Glenohumeral Stretching in Children With Brachial Plexus Injuries

Russo

Killelea

Zlotolow

et al. 2019

The Journal of Hand Surgery

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Limited Glenohumeral Cross-body Adduction in Children With Brachial Plexus Birth Palsy

Abstract: Level II.

Cited by 34 publications

References 28 publications

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Quality of Life and Upper Limb Function of Children With Neonatal Brachial Plexus Palsy

Scapular Stabilization Limits Glenohumeral Stretching in Children With Brachial Plexus Injuries

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