Upper-limb function in brachial plexus birth palsy: does the Pediatric Outcomes Data Collection Instrument correlate with the Brachial Plexus Outcome Measure?

ABSTRACT 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.

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Development of a patient-reported outcome measure for upper limb function in Duchenne muscular dystrophy: DMD Upper Limb PROM

Developmental Medicine & Child Neurology ◽

10.1111/dmcn.13277 ◽

2016 ◽

Vol 59 (2) ◽

pp. 224-231 ◽

Cited By ~ 16

Author(s):

K Klingels ◽

A G Mayhew ◽

E S Mazzone ◽

T Duong ◽

V Decostre ◽

...

Keyword(s):

Duchenne Muscular Dystrophy ◽

Muscular Dystrophy ◽

Upper Limb ◽

Outcome Measure ◽

Patient Reported Outcome ◽

Limb Function ◽

Patient Reported Outcome Measure ◽

Upper Limb Function ◽

Patient Reported

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Treatment approach to shoulder internal rotation deformity in children with obstetric brachial plexus palsy

Pediatric Traumatology Orthopaedics and Reconstructive Surgery ◽

10.17816/ptors6222-28 ◽

2018 ◽

Vol 6 (2) ◽

pp. 22-28 ◽

Cited By ~ 1

Author(s):

Olga E. Agranovich ◽

Anatoly B. Oreshkov ◽

Evgeniya F. Mikiashvili

Keyword(s):

Brachial Plexus ◽

Internal Rotation ◽

Upper Limb ◽

Glenohumeral Joint ◽

Brachial Plexus Palsy ◽

Limb Function ◽

Obstetric Brachial Plexus Palsy ◽

Tendon Transfers ◽

Upper Limb Function ◽

Obstetric Brachial Plexus

Introduction. Shoulder internal rotation contracture is the most common deformity affecting the shoulder in patients with obstetric brachial plexus palsy because of the subsequent imbalance of the musculature and the abnormal deforming forces that cause dysplasia of the glenohumeral joint. Aim. To assess the effects of tendon transfers in children with shoulder internal rotation deformity due to obstetric brachial plexus palsy. Materials and methods. From 2015 to 2017, we examined and treated 15 patients with shoulder internal rotation deformity caused by obstetric brachial plexus palsy. The children ranged in age from 4 to 17 years. We used clinical and radiographic examination methods, including magnetic resonance imaging, electromyography, and electroneuromyography, of the upper limbs. Results. According to the level of plexus brachialis injury, the patients were divided into 3 groups: level С5–С6 (9 patients), level C5–C7 (5 children), level С5–Th1 (1 patient). All children had secondary shoulder deformities: glenohumeral dysplasia type II, 6 (40%); type III, 5 (34%); type IV, 1 (6%); and type V, 3 (20%). The Mallet score was used for estimation of upper limb function. Surgical treatment was performed in 15 children. After treatment, all patients showed improvement in activities of daily living. Conclusion. Tendon transfers in patients with shoulder internal rotation deformities due to obstetric brachial plexus palsy improved upper limb function and provided satisfactory cosmetic treatment results without of remodeling of the glenohumeral joint.

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Effectiveness Of Combined Rehabilitation Intervention For Upper Limb Function In Chronic Stroke

10.15405/epsbs.2019.02.29 ◽

2019 ◽

Author(s):

Ilona Ilinca

Keyword(s):

Upper Limb ◽

Chronic Stroke ◽

Limb Function ◽

Rehabilitation Intervention ◽

Upper Limb Function

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