The natural history and management of brachial plexus birth palsy

Buterbaugh, Kristin; Shah, Apurva S.

doi:10.1007/s12178-016-9374-3

Cited by 38 publications

(39 citation statements)

References 83 publications

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“…Considerando que essa classificação faz a estratificação com base no curso clínico das crianças durante as primeiras 8 semanas após o nascimento, não é utilizada para indicação do tratamento cirúrgico (Buterbaugh, 2016;Blaauw, 2017 (Heise, 2015;Abid, 2016).…”

Section: Paralisia Do Plexo Braquial Neonatal: Uma Discussão à Luz Daunclassified

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Neonatal Brachial Plexus Paralysis: A Discussion on the Light of Literature

Brito

Neto

2019

AIMJ

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Neonatal Brachial Plexus Paralysis (PPBN) is defined as a brachial plexus traction or compression injury resulting from dystocic delivery. The incidence of PPBN varies from 0.42 to 5.1% per 1000 births. The lesion occurs in the expulsive period of childbirth, is most often associated with shoulder dystocia, gestational or pre-gestational diabetes and macrosomic fetuses. The lesion resulting from C5-C6 root involvement is the most frequent, affecting around 50 to 60% of the cases, and 80% of these patients have spontaneous recovery. However, around 20 to 30% of patients may develop persistent deficits, with permanent impacts on upper limb function, compromising the child's development; leading to repercussions for their families and for the health system. PPBN is usually diagnosed by clinical examination and usually does not require imaging studies. Initial treatment is conservative based on functional rehabilitation through physical therapy. Sequential physical examination will indicate patients with no recovery of shoulder movement between 3 and 6 months, who may benefit from surgical treatment. The prognosis of PPBN depends on the level (pre-or postganglionic), the extent, severity of the lesion, the speed of recovery and the quality of initial clinical management.

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Section: Paralisia Do Plexo Braquial Neonatal: Uma Discussão à Luz Daunclassified

“…Para determinar a severidade da lesão, é importante distinguir dois tipos de lesão: (Raducha, 2017;Smith, 2018 (Buterbaugh, 2016;Abid, 2016).…”

Section: Fisiopatologiaunclassified

Neonatal Brachial Plexus Paralysis: A Discussion on the Light of Literature

Brito

Neto

2019

AIMJ

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“…Though Dejerine-Klumke palsy is quite rare in adults, those afflicted present with an inability to flex their fingers and loss of intrinsic function of the hand causing difficulties with hand-based motor tasks. 9,[15][16][17][18][19][20][21]…”

Section: Clinical Presentationsmentioning

confidence: 99%

The Use of Dynamic Assist Orthosis for Muscle Reeducation following Brachial Plexus Injury and Reconstruction

et al. 2018

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Therapeutic management of brachial plexus injuries remains complex. The impact of brachial plexus injuries on everyday human functioning should not be underestimated. Early active-assisted range of motion following such injuries may prevent myostatic contractures, minimize muscle atrophy, facilitate muscle fiber recruitment, and enable a faster return to baseline strength levels. The dynamic assist elbow flexion orthosis proposed is designed to provide patients with a graded system for muscle reeducation and function. No clinical data are currently available on the use of this orthosis design; however, this article presents a treatment option based on sound clinical reasoning to facilitate rehabilitation following this devastating injury.

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“…Hasta ahora, la extensión del daño neural sólo puede evaluarse observando la recuperación en el transcurso del tiempo porque las lesiones nerviosas de diferente gravedad se presentan inicialmente con las mismas características clínicas. [1][2][3]…”

Section: Introductionunclassified