Correlation of Pediatric Outcomes Data Collection Instrument With Measures of Active Movement in Children With Brachial Plexus Birth Palsy

2008 ◽  
Vol 28 (5) ◽  
pp. 584-592 ◽  
Author(s):  
Donald S. Bae ◽  
Peter M. Waters ◽  
David Zurakowski
Keyword(s):  
Data Collection ◽  
Brachial Plexus ◽  
Active Movement ◽  
Brachial Plexus Birth Palsy ◽  
Data Collection Instrument ◽  
Birth Palsy

Assessment of Children With Brachial Plexus Birth Palsy Using the Pediatric Outcomes Data Collection Instrument

2005 ◽  
Vol 25 (3) ◽  
pp. 400-404 ◽  
Author(s):  
G Russell Huffman ◽  
Anita M Bagley ◽  
Michelle A James ◽  
Joel A Lerman ◽  
George Rab
Keyword(s):  
Data Collection ◽  
Brachial Plexus ◽  
Brachial Plexus Birth Palsy ◽  
Data Collection Instrument ◽  
Birth Palsy

Functional outcomes of tendon transfer for brachial plexus birth palsy using the Hoffer technique

2020 ◽  
Vol 102-B (2) ◽  
pp. 246-253 ◽  
Author(s):  
Ram K. Alluri ◽  
Nina Lightdale-Miric ◽  
Erin Meisel ◽  
Gina Kim ◽  
Jesse Kaplan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Brachial Plexus ◽  
Functional Outcomes ◽  
External Rotation ◽  
Shoulder Abduction ◽  
Active Movement ◽  
Brachial Plexus Birth Palsy ◽  
Derotational Osteotomy ◽  
Birth Palsy

Aims To describe and analyze the mid-term functional outcomes of a large series of patients who underwent the Hoffer procedure for brachial plexus birth palsy (BPBP). Methods All patients who underwent the Hoffer procedure with minimum two-year follow-up were retrospectively reviewed. Active shoulder range of movement (ROM), aggregate modified Mallet classification scores, Hospital for Sick Children Active Movement Scale (AMS) scores, and/or Toronto Test Scores were used to assess functional outcomes. Subgroup analysis based on age and level of injury was performed. Risk factors for subsequent humeral derotational osteotomy and other complications were also assessed. A total of 107 patients, average age 3.9 years (1.6 to 13) and 59% female, were included in the study with mean 68 months (24 to 194) follow-up. Results All patients demonstrated statistically significant improvement in all functional outcomes and active shoulder abduction and external rotation ROM (p < 0.001). Patients < 2.5 years of age had higher postoperative AMS, abduction ROM and strength scores, and aggregate postoperative Toronto scores (p ≤ 0.035) compared to patients ≥ 2.5 years old. There were 17 patients (16%) who required a subsequent humeral derotational osteotomy; lower preoperative AMS external rotation scores and external rotation ROM were predictive risk factors (p ≤ 0.016). Conclusion Patients with BPBP who underwent the Hoffer procedure demonstrated significant improvement in postoperative ROM, strength, and functional outcome scores at mid-term follow-up. Patients younger than 2.5 years at the time of surgery generally had better functional outcomes. Limited preoperative external rotation strength and ROM were significantly associated with requirement for subsequent humeral derotational osteotomy. In our chort significant improvements in shoulder function were obtained after the Hoffer procedure for BPBP. Cite this article: Bone Joint J 2020;102-B(2):246–253.

scholarly journals Range of motion and strength after surgery for brachial plexus birth palsy

2010 ◽  
Vol 82 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Mikko O Kirjavainen ◽  
Yrjänä Nietosvaara ◽  
Sanna M Rautakorpi ◽  
Ville M Remes ◽  
Tiina H Pöyhiä ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Range Of Motion ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy

scholarly journals Motion Analytics of Trapezius Muscle Activity in an 18-Year-Old Female with Extended Upper Brachial Plexus Birth Palsy

2021 ◽  
Vol 16 (01) ◽  
pp. e51-e55
Author(s):  
Jasmine J. Lin ◽  
Gromit Y.Y. Chan ◽  
Cláudio T. Silva ◽  
Luis G. Nonato ◽  
Preeti Raghavan ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Upper Extremity ◽  
Muscle Activity ◽  
Visual Analytics ◽  
Three Dimensional ◽  
Trapezius Muscle ◽  
Shoulder Abduction ◽  
Upper Trapezius ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy

Abstract Background The trapezius muscle is often utilized as a muscle or nerve donor for repairing shoulder function in those with brachial plexus birth palsy (BPBP). To evaluate the native role of the trapezius in the affected limb, we demonstrate use of the Motion Browser, a novel visual analytics system to assess an adolescent with BPBP. Method An 18-year-old female with extended upper trunk (C5–6–7) BPBP underwent bilateral upper extremity three-dimensional motion analysis with Motion Browser. Surface electromyography (EMG) from eight muscles in each limb which was recorded during six upper extremity movements, distinguishing between upper trapezius (UT) and lower trapezius (LT). The Motion Browser calculated active range of motion (AROM), compiled the EMG data into measures of muscle activity, and displayed the results in charts. Results All movements, excluding shoulder abduction, had similar AROM in affected and unaffected limbs. In the unaffected limb, LT was more active in proximal movements of shoulder abduction, and shoulder external and internal rotations. In the affected limb, LT was more active in distal movements of forearm pronation and supination; UT was more active in shoulder abduction. Conclusion In this female with BPBP, Motion Browser demonstrated that the native LT in the affected limb contributed to distal movements. Her results suggest that sacrificing her trapezius as a muscle or nerve donor may affect her distal functionality. Clinicians should exercise caution when considering nerve transfers in children with BPBP and consider individualized assessment of functionality before pursuing surgery.

Relationships Between 3 Classification Systems in Brachial Plexus Birth Palsy

2017 ◽  
Vol 37 (6) ◽  
pp. 374-380 ◽  
Author(s):  
Dustin A. Greenhill ◽  
Robert Lukavsky ◽  
Sandra Tomlinson-Hansen ◽  
Scott H. Kozin ◽  
Dan A. Zlotolow
Keyword(s):  
Brachial Plexus ◽  
Classification Systems ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy
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