Treatment and Rehabilitation of Neonatal Brachial Plexus Palsy : Case Study
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Abstract
Background: Neonatal brachial plexus palsy refers to injury to all or a portion of the brachial plexus noted at the time of delivery. This condition often associated with large weight at birth and shoulder dystocia. Many cases are transient wich recovered to full function in the first week of life. A smaller percentage of cases continue to have weakness leading to long-term disability. The mainstay of treatment for these children is rehabilitation program along with a regular home exercise program. Some patients may have benefit from surgical intervention to improve shoulder and elbow function.
Objective: To introduced the prognosis and guideline of treatment and rehabilitation program that can improve function of affected arm and reduce long-term disability.
Study design: Case study
Method: Two infants had weakness of unilateral arm after difficult deliveries. They had diagnosed as Erb's palsy. Outcomes were followed after they were managed with rehabilitation program that consist of ROM exercises, electrical stimulation, facilitation of active movement, strengthening, promotion of sensory awareness and instructions for home exercises. The results were they had improvement of muscle functions and the sequalae remained only mild impairment.
Conclusion: A comprehensive rehabilitation program and provision of instructions for home activities can improve functional outcomes and reduce disability in neonatal brachial plexus palsy.
Key words: Neonatal brachial plexus palsy, Erb’s palsy, shoulder dystocia, electrodiagnostic studies, comprehensive rehabilitation program. Mallet’s classification, compensatory movement, sequalae
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References
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