Use of Neuromuscular Electrical Stimulation in the Treatment of Neonatal Brachial Plexus Palsy: A Literature Review

Justice, Denise; Awori, Jonathan; Carlson, Spencer; Chang, Kai-Ting; Yang, Lynda J.‐S.

doi:10.15453/2168-6408.1431

Cited by 10 publications

(21 citation statements)

References 22 publications

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“…Of the 49 initially identified articles, 13 were found to meet the inclusion criteria [4,16,17,18,19,20,21,22,23,24,25,26,27] after reading the title, abstract, and the full article. For a better understanding of the search strategy and selection of articles that constituted the sample for our integrative literature review, a PRISMA flow chart was built (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Two of these articles were published in 2018 [19,22], one in 2017 [26], two in 2016 [16,25], three in 2015 [4,20,24], and five in 2014 [17,18,21,24,27].…”

Section: Resultsmentioning

confidence: 99%

“…The countries of origin were Argentina [16], the United States of America [19,22,23], Spain [26], the Netherlands [17], Canada [18], India [4], Cuba [21], Saudi Arabia [24,27], and Brazil [20,25].…”

Section: Resultsmentioning

confidence: 99%

“…The articles presented rehabilitation treatments/therapies for neonatal brachial plexus palsy, including (i) multidisciplinary conservative treatment [4,19,20,21,22] using complementary means or techniques such as electrostimulation, botulinum toxin injection, immobilizing splints and constraint induced movement therapy [4,19,20,22,23,26], and (ii) surgical treatment, which includes primary and secondary surgeries [16,20,22], where nerve transfer surgeries can use grafts of the median nerve, phrenic nerve, and ulnar nerve [24,25,27]. The criteria that define the choice for conservative or surgical treatment are debated by several authors [17,18,21,22,27] (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The treatment administered by the physiotherapist and occupational therapist involves smooth joint movements and sensory stimulation, such as passive/active mobilization exercises, stretches, tactile stimulation with different textures, vibration and brushing techniques to promote sensory ability in the injured limb, and bimanual activities. Sensory stimulation is as important as motor stimulation and can consist in suckling any finger on the injured limb and stimulating the skin with different textures, temperatures, and vibrations [4,19,20,21,22]. Electrical stimulation/electrostimulation is a complementary means or technique used in conservative therapies for the rehabilitation of brachial plexus palsy [4,19], that promotes gaining muscle tone/strength on the affected muscles, and significant improvements in the mobility of the injured limb.…”

Section: Discussionmentioning

confidence: 99%

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Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

Frade

Gómez‐Salgado

Jacobsohn

et al. 2019

JCM

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This integrative literature review has been carried out with the aim of analyzing the scientific literature aimed at identifying and describing existing rehabilitation treatments/therapies for neonatal brachial plexus palsy (NBPP). NBPP is a frequent consequence of difficult birthing, and it impairs the function of the brachial plexus in newborns. This is why knowledge on rehabilitation strategies deserves special attention. The data collection was carried out in January 2019, in the EBSCOhost and BVS (Biblioteca Virtual em Saúde) platforms, in the CINAHL Complete, MEDLINE Complete, LILACS and PubMed databases. Thirteen articles were included in this integrative literature review, based on a literature search spanning title, abstract and full text, and considering the inclusion criteria. Two main treatments/therapies for NBPP rehabilitation were identified: conservative treatment and surgical treatment. Conservative treatment includes teamwork done by physiatrists, physiotherapists and occupational therapists. These professionals use rehabilitation techniques and resources in a complementary way, such as electrostimulation, botulinum toxin injection, immobilizing splints, and constraint induced movement therapy of the non-injured limb. Professionals and family members work jointly. Surgical treatment includes primary surgeries, indicated for children who do not present any type of spontaneous rehabilitation in the first three months of life; and secondary surgeries, recommended in children who after primary surgery have some limitation of injured limb function, or in children who have had some spontaneous recovery, yet still have significant functional deficits. Treatment options for NBPP are defined by clinical evaluation/type of injury, but regardless of the type of injury, it is unanimous that conservative treatment is always started as early as possible. It should be noted that there was no evidence in the literature of other types of rehabilitation and techniques used in clinical practice, such as preventive positioning of contractures and deformities, hydrotherapy/aquatic therapy, among others, so we consider there is a need for further studies at this level in this area.

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Section: Resultsmentioning

confidence: 99%

“…Two of these articles were published in 2018 [19,22], one in 2017 [26], two in 2016 [16,25], three in 2015 [4,20,24], and five in 2014 [17,18,21,24,27].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

Frade

Gómez‐Salgado

Jacobsohn

et al. 2019

JCM

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Geburtstraumatische Plexusparese

Jung¹

2023

Fallbuch Physiotherapie: Pädiatrie

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Neuromuscular Development in Neonates and Postnatal Infants: Implications for Neuromuscular Electrical Stimulation Therapy for Dysphagia

Epperson

Sandage

2019

J Speech Lang Hear Res

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Purpose The aim of the current study was to review neuromuscular development, summarize the current body of evidence describing the use of neuromuscular electrical stimulation (NMES) therapy in infants, and identify possible contraindications for the use of NMES in the neonate and young infant. Method After a review of the literature describing neuromuscular development, we created a timeline of the developmental processes. Key milestones were determined, and a literature search was conducted to identify potential effects of electrical stimulation on this process. Results Current evidence supporting the use of NMES in the pediatric population is limited and of poor quality. Contraindications of the use of NMES in the neonate and young infant were identified, including (a) inhibited expression of the neural cell adhesion molecule that is vital for neuromuscular development, (b) alteration of muscle fiber type metabolic profile away from intended muscle fiber type morphology, and (c) interruption of postsynaptic acetylcholine receptor synthesis during neuromuscular junction development. Conclusion The use of NMES for the treatment of dysphagia in the neonate and young infant may influence early neuromuscular development in a manner that is not currently well understood. Future research is needed to further understand the effects of NMES on the developing neuromuscular system.

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Use of Neuromuscular Electrical Stimulation in the Treatment of Neonatal Brachial Plexus Palsy: A Literature Review

Abstract: Background: The purpose of this study was to conduct a review of current literature on the effectiveness of neuromuscular electrical stimulation (NMES) for restoring motion and function in neonatal brachial plexus palsy (NBPP).

Cited by 10 publications

References 22 publications

Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review

Geburtstraumatische Plexusparese

Neuromuscular Development in Neonates and Postnatal Infants: Implications for Neuromuscular Electrical Stimulation Therapy for Dysphagia

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