Early Conservative Physical Therapy Management of Babies With Obstetric Brachial Plexus Injury to Facilitate Spontaneous Recovery.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-30 DOI:10.1097/PEP.0000000000001161

Hanan Mahrouck, Nahla Almatrafi, Mohammad Tamboosi

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引用次数: 0

Abstract

Objective: To evaluate the effect of early immobilization and proper handling techniques in infants with Obstetric Brachial Plexus Injury (OBPI) in the first 2 weeks of life.

Method: Six 1-day-old infants (2 males and 4 females) with OBPI were included. The assessments were done at baseline, post-intervention, and 3-month follow-up, which involved a physical exam, Narakas classification, Active Movement Scale, and gross and fine motor skills evaluation.

Result: All infants had upper Erb's palsy. They had statistically significant improvement in the Active Movement Scale scores post-intervention with a large effect size. These improvements were maintained at follow-up. All infants achieved age-appropriate gross and fine motor skills with the affected upper limb at 3 months of age.

Conclusion: Early conservative physical therapy management had a statistically significant effect on enhancing spontaneous recovery and preventing further nerve injury in OBPI infants.

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产科臂丛神经损伤婴儿的早期保守物理治疗，以促进自发康复。

目的评估产科臂丛神经损伤（OBPI）婴儿出生后两周内早期固定和正确处理技术的效果：方法：纳入 6 名出生 1 天的产科臂丛神经损伤婴儿（2 男 4 女）。评估分别在基线、干预后和 3 个月随访时进行，包括体格检查、Narakas 分类、主动运动量表以及粗大和精细运动技能评估：结果：所有婴儿都患有上额厄氏麻痹。干预后，他们的主动运动量表得分有了统计学意义上的明显改善，且影响范围较大。这些改善在随访中得以保持。所有婴儿在3个月大时，患侧上肢的粗大和精细运动技能都达到了与年龄相适应的水平：结论：早期保守理疗对促进 OBPI 婴儿的自发恢复和防止进一步的神经损伤具有显著的统计学作用。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.