scholarly journals QUALITY OF LIFE AND UPPER LIMB FUNCTION OF CHILDREN WITH NEONATAL BRACHIAL PLEXUS PALSY

2020 ◽  
Vol 38 ◽  
Author(s):  
Daiane Lazzeri de Medeiros ◽  
Natália Borges Agostinho ◽  
Luis Mochizuki ◽  
Anamaria Siriani de Oliveira
Keyword(s):  
Quality Of Life ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Outcome Data ◽  
Emotional Impact ◽  
Brachial Plexus Palsy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Neonatal Brachial Plexus Palsy

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.

Secondary procedures for restoration of upper limb function in late cases of neonatal brachial plexus palsy

2019 ◽  
Vol 29 (2) ◽  
pp. 329-336 ◽  
Author(s):  
Marios D. Vekris ◽  
Dimitrios V. Papadopoulos ◽  
Ioannis D. Gelalis ◽  
Vasilios Kontogeorgakos ◽  
Andreas G. Tsantes ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Upper Limb ◽  
Brachial Plexus Palsy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Neonatal Brachial Plexus Palsy ◽  
Secondary Procedures

scholarly journals Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response

2018 ◽  
Vol 76 (10) ◽  
pp. 654-662 ◽  
Author(s):  
Maicon Gabriel Gonçalves ◽  
Mariana Floriano Luiza Piva ◽  
Carlos Leonardo Sacomani Marques ◽  
Rafael Dalle Molle da Costa ◽  
Rodrigo Bazan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Virtual Reality ◽  
Upper Limb ◽  
Internal Capsule ◽  
Functional Independence ◽  
Reality Therapy ◽  
Limb Function ◽  
Virtual Reality Therapy ◽  
Upper Limb Function

ABSTRACT Background: Virtual reality therapy (VRT) is an interactive intervention that induces neuroplasticity. The aim was to evaluate the effects of VRT associated with conventional rehabilitation for an upper limb after stroke, and the neuroimaging predictors of a better response to VRT. Methods: Patients with stroke were selected, and clinical neurological, upper limb function, and quality of life were evaluated. Statistical analysis was performed using a linear model comparing pre- and post-VRT. Lesions were segmented in the post-stroke computed tomography. A voxel-based lesion-symptom mapping approach was used to investigate the relationship between the lesion and upper limb function. Results: Eighteen patients were studied (55.5 ± 13.9 years of age). Quality of life, functional independence, and dexterity of the upper limb showed improvement after VRT (p < 0.001). Neuroimaging analysis showed negative correlations between the internal capsule lesion and functional recovery. Conclusion: VRT showed benefits for patients with stroke, but when there was an internal capsule lesion, a worse response was observed.

Utility of delayed surgical repair of neonatal brachial plexus palsy

2014 ◽  
Vol 13 (4) ◽  
pp. 462-470 ◽  
Author(s):  
Zarina S. Ali ◽  
Dara Bakar ◽  
Yun R. Li ◽  
Alex Judd ◽  
Hiren Patel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Brachial Plexus ◽  
Spontaneous Recovery ◽  
Surgical Repair ◽  
Surgical Reconstruction ◽  
Brachial Plexus Palsy ◽  
Improved Outcomes ◽  
Neonatal Brachial Plexus Palsy ◽  
Life Years

Object Neonatal brachial plexus palsy (NBPP) represents a significant health problem with potentially devastating consequences. The most common form of NBPP involves the upper trunk roots. Currently, primary surgical repair is performed if clinical improvement is lacking. There has been increasing interest in “early” surgical repair of NBPPs, occurring within 3–6 months of life. However, early treatment recommendations ignore spontaneous recovery in cases of Erb's palsy. This study was undertaken to evaluate the optimal timing of surgical repair in this group with respect to quality of life. Methods The authors formulated a decision analytical model to compare 4 treatment strategies (no repair or repair at 3, 6, or 12 months of life) for infants with persistent NBPPs. The model derives data from a critical review of published studies and projects health-related quality of life and quality-adjusted life years over a lifetime. Results When evaluating the quality of life of infants with NBPP, improved outcomes are seen with delayed surgical repair at 12 months, compared with no repair or repair at early and intermediate time points, at 3 and 6 months, respectively. ANOVA showed that the differences among the 4 groups are highly significant (F = 8369; p < 0.0001). Pairwise post hoc comparisons revealed that there are highly significant differences between each pair of strategies (p < 0.0001). Meta-regression showed no evidence of improved outcomes with more recent treatment dates, compared with older ones, for either nonsurgical or for surgical treatment (p = 0.767 and p = 0.865, respectively). Conclusions These data support a delayed approach of primary surgical reconstruction to optimize quality of life. Early surgery for NBPPs may be an overly aggressive strategy for infants who would otherwise demonstrate spontaneous recovery of function by 12 months. A randomized, controlled trial would be necessary to fully elucidate the natural history of NBPP and determine the optimal time point for surgical intervention.

Neonatal Brachial Plexus Palsy in Children Aged 0 to 2.5 Years; Parent-Perceived Family Impact, Quality of Life, and Upper Extremity Functioning

2016 ◽  
Vol 62 ◽  
pp. 34-42 ◽  
Author(s):  
Menno van der Holst ◽  
Duco Steenbeek ◽  
Willem Pondaag ◽  
Rob G.H.H. Nelissen ◽  
Thea P.M. Vliet Vlieland
Keyword(s):  
Quality Of Life ◽  
Brachial Plexus ◽  
Upper Extremity ◽  
Family Impact ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

scholarly journals Effects of fampridine on walking parameters, upper limb function, fatigue and quality of life in multiple sclerosis

2014 ◽  
Vol 57 ◽  
pp. e304
Author(s):  
A. Benoît ◽  
A. Blanchard ◽  
V. Tiffreau ◽  
A. Thévenon ◽  
P. Vermersch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Upper Limb ◽  
Limb Function ◽  
Upper Limb Function

scholarly journals HoMEcare aRm rehabiLItatioN (MERLIN): preliminary evidence of long term effects of telerehabilitation using an unactuated training device on upper limb function after stroke

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Samantha G. Rozevink ◽  
Corry K. van der Sluis ◽  
Juha M. Hijmans
Keyword(s):  
Quality Of Life ◽  
Upper Limb ◽  
Long Term Effects ◽  
Limb Function ◽  
Upper Limb Function ◽  
Arm Rehabilitation ◽  
Better Than

Abstract Background While short term effects on upper limb function of stroke patients after training with robotic devices have been studied extensively, long term effects are often not addressed. HoMEcare aRm rehabiLItatioN (MERLIN) is a combination of an unactuated training device using serious games and a telerehabilitation platform in the patient’s home situation. Short term effects showed that upper limb function improved after training with MERLIN. The aim was to determine long term effects on upper limb function and quality of life. Methods Six months after cessation of the 6 week MERLIN training program, the upper limb function and quality of life of 11 chronic stroke patients were assessed. Upper limb function was measured using the Wolf Motor Function Test (WMFT), Action Research Arm Test (ARAT) and Fugl-Meyer Assessment-Upper Extremity (FMA-UE). EuroQoL-5D (EQ-5D) was used to measure quality of life. Results The WMFT, ARAT and EQ-5D did not show significant differences 6 months after the training period compared to directly after training. At 6 months follow-up, FMA-UE results were significantly better than at baseline. Time plots showed a decreasing trend in all tests. Conclusion Training effects were still present at 6 months follow-up, since arm function seemed similar to directly after training and FMA-UE results were better than at baseline. However, because of the decreasing trend shown in all tests, it is questionable if improvements will be maintained longer than 6 months. Due to the sample size and study design, results should be interpreted with caution. Trial registration This study is registered at the Netherlands Trial Register (NL7535). Registered 18-02-2019, https://www.trialregister.nl/trial/7535

Sign in / Sign up

Export Citation Format

Share Document