Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

Frade, Fátima; Gómez‐Salgado, Juan; Jacobsohn, Lia; Florindo-Silva, Fátima

doi:10.3390/jcm8070980

Cited by 37 publications

(44 citation statements)

References 44 publications

(112 reference statements)

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“…This process yielded a total of 24 studies that were reviewed in their full text version. After the review, 16 of the 24 articles were discarded because they did not meet the inclusion criteria and the systematic review was conducted by the analysis of 8 studies [21][22][23][24][25][26][27][28][29] . The first article, written by Socolonsky et al, 2016.…”

Section: Resultsmentioning

confidence: 99%

“…Most of the authors [21][22][23][24][25] justified their selection of the sample size, however this justification was based on circumstantial terms (number of patients in a certain time period) and not on any statistical methodology.…”

Section: Quality Of the Methodology In The Selected Studiesmentioning

confidence: 99%

“…The conservative therapeutic intervention included home exercise programs 24,27 , mobilization programs (active and passive movement) 18 , mild regular exercise 23 , exercises that focus on strengthening and development of the affected muscle groups 22 , splints 22 and dynamic traction 25 . Furthermore, 4 researches did not describe in detail the therapeutic interventions used but mentioned them as physiotherapy 23,26 , conservative treatment 27,28 and occupational therapy 26 . All of these researches did not use any information about the specific exercises that were used in the protocol (duration of the exercises, frequency, and number of repetitions) but all the interventions were of physiotherapeutical nature.…”

Section: Quality Of the Methodology In The Selected Studiesmentioning

confidence: 99%

“…Regarding the type of study in the included papers, 3 of the studies were comparative and more specifically they compared the results of conservative treatment versus surgical treatment options 23,27,28 . The surgery procedure consisted involved internal neurolysis and neuroma excision and nerve grafting or nerve transfer.…”

Section: Critical Evaluationmentioning

confidence: 99%

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Physiotherapy management of obstetric brachial plexus palsy: A systematic review of the literature

Tsafa¹,

Zafeiris²

2021

JRPMS

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Obstetric brachial plexus palsy (OBPP) is a pathological situation that is defined as a birth complication with the frequency of occurrence 1-3 per 1000 live births globally. The prime mechanism of injury is the complexion and/ or traction of the brachial plexus and may occur in utero through the birth canal or during the process of delivery. This pathology can result in a variety of injuries with that affect the range of motion, the mobility and the use of the upper limb. Management alternatives for the treatment of OBPP consist of non-operative and operative treatment. There is a controversy regarding the selection of the appropriate rehabilitation method for the management of OBPP. The objective of the current research is the search of the literature for the current scientific evidence about the effectiveness of physiotherapy as a conservative method of treatment of infants with OBPP. According to current literature the physiotherapy methods that were used varied form passive exercise to splints and traction. There is little evidence regarding the use of physiotherapy as a primary method of conservative management of OBPP, there is need for more research to elucidate their role

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Section: Resultsmentioning

confidence: 99%

Section: Quality Of the Methodology In The Selected Studiesmentioning

confidence: 99%

Section: Quality Of the Methodology In The Selected Studiesmentioning

confidence: 99%

Section: Critical Evaluationmentioning

confidence: 99%

See 2 more Smart Citations

Physiotherapy management of obstetric brachial plexus palsy: A systematic review of the literature

Tsafa¹,

Zafeiris²

2021

JRPMS

View full text Add to dashboard Cite

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“…Brachial plexus can be damaged as a result of pulling the arms above the head level in breech babies during labor. Strained and damaged spinal nerves may cause severe function loss by affecting the small muscles of the hand (Frade, 2019). OBPP was defined by William Smellie, an obstetrician, for the first time in 1764.…”

Section: Introductionmentioning

confidence: 99%

Obstetric Brachial Plexus Palsy and Rehabilitation Process: Case Presentation

Durmaz

Solgun

Özbağ

et al. 2021

Black Sea Journal of Health Science

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Obstetric brachial plexus palsy (OBPP) is a clinical situation induced by the damage to the plexus brachialis and the branches originating from its location. While the diagnosis of OBPP can be made with a detailed examination performed right after the baby is born, it may limit the daily life activities of the child throughout his/her life when the situation noticed at a late stage. Treatment for OBPP can be grouped as conservative treatment, palliative surgery during conservative treatment, surgical therapy and late period treatment. In addition to all these, the physical therapy and rehabilitation processes are initiated for the patient from the moment the patient is diagnosed. The aim of the study is to reveal the importance of the early physiotherapy and rehabilitation program and the significance of the regular exercise program not neglected after a series of operations, in OBPP treatment. In this case presentation, we will present a 9-year treatment program, physiotherapy and rehabilitation period of a female patient with OBPP diagnosed at the time of birth, and her condition before and after this process.

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Location of brachial plexus birth injury affects functional outcomes in a rat model

Doshi

Reid

Dixit

et al. 2021

Journal Orthopaedic Research

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Brachial plexus birth injury (BPBI) results in shoulder and elbow paralysis with shoulder internal rotation and elbow flexion contracture as frequent sequelae. The purpose of this study was to develop a technique for measuring functional movement and examine the effect of brachial plexus injury location (preganglionic and postganglionic) on functional movement outcomes in a rat model of BPBI, which we achieved through integration of gait analysis with musculoskeletal modeling and simulation. Eight weeks following unilateral brachial plexus injury, sagittal plane shoulder and elbow angles were extracted from gait recordings of young rats (n = 18), after which rats were sacrificed for bilateral muscle architecture measurements. Musculoskeletal models reflecting animal-specific muscle architecture parameters were used to simulate gait and extract muscle fiber lengths. The preganglionic neurectomy group spent significantly less (p = 0.00116) time in stance and walked with significantly less (p < 0.05) elbow flexion and shoulder protraction in the affected limb than postganglionic neurectomy or control groups. Linear regression revealed no significant linear relationship between passive shoulder external rotation and functional shoulder protraction range of motion. Despite significant restriction in longitudinal muscle growth, normalized functional fiber excursions did not differ significantly between groups. In fact, when superimposed on a normalized force-length curve, neurectomy-impaired muscle fibers (except subscapularis) accessed regions of the curve that overlapped with the control group. Our results suggest the presence of compensatory motor control strategies during locomotion following BPBI. The clinical implications of our findings support emphasis on functional movement analysis in treatment of BPBI, as functional and passive outcomes may differ substantially.

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Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

Cited by 37 publications

References 44 publications

Physiotherapy management of obstetric brachial plexus palsy: A systematic review of the literature

Physiotherapy management of obstetric brachial plexus palsy: A systematic review of the literature

Obstetric Brachial Plexus Palsy and Rehabilitation Process: Case Presentation

Location of brachial plexus birth injury affects functional outcomes in a rat model

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