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Updated: Apr 22, 2026

Development of a Neonatal Rat Model for Brachial Plexus Birth Injury
Published on: March 27, 2026
Factors related to the psychosocial functioning of youth with neonatal brachial plexus injuries
Janelle M Mentrikoski1, Christina L Duncan2, Andrea Melanson2
1Department of Psychology, West Virginia University, Pediatric Rehabilitation, Children's Mercy Hospitals and Clinics, and Brachial Plexus Center, Cincinnati Children's Hospital Medical Center jmentrik@mix.wvu.edu.
Insights
Social support from peers and positive coping strategies improve self-concept and reduce social difficulties in youth with neonatal brachial plexus injuries (NBPI). These factors are crucial for psychosocial well-being.
Area of Science:
- Pediatric neurology
- Developmental psychology
- Rehabilitation medicine
Background:
- Neonatal brachial plexus injuries (NBPI) can cause visible impairments and functional limitations.
- Psychosocial functioning is a critical aspect of long-term outcomes for children with NBPI.
Purpose of the Study:
- To examine the relationship between injury severity, social support, and coping strategies with social difficulties and self-concept in youth with NBPI.
- To identify factors that influence psychosocial adjustment in children affected by NBPI.
Main Methods:
- A cohort of 88 children (aged 10-17 years) with NBPI and their parents participated.
- Data were collected using validated questionnaires during clinical visits.
Main Results:
- Increased social support from classmates correlated with enhanced self-concept and decreased social difficulties.
- Reduced use of negative coping strategies was linked to better self-concept and fewer social challenges.
- Negative coping strategies significantly moderated the impact of injury severity on self-concept.
Conclusions:
- Peer support and adaptive coping mechanisms are vital for improving psychosocial functioning in youth with NBPI.
- Clinicians should integrate strategies that foster social connections and positive coping skills into treatment plans.
Objective:
Owing to the possible visible nature and functional impairments associated with neonatal brachial plexus injuries (NBPI), the current study investigated the relations of injury severity, social support, and coping strategies to social difficulties and self-concept in youth with NBPI.
Methods:
88 children (aged 10-17 years) with NBPI and their parent(s) were recruited from a national organization and two brachial plexus clinics. Participants completed a variety of questionnaires during their scheduled clinic visits.
Results:
More social support from classmates was associated with better self-concept and fewer social difficulties. Less frequent use of negative coping strategies was associated with better self-concept and fewer social difficulties and was a significant moderator of the relation between injury severity and self-concept.
Conclusions:
Clinicians who work with children with NBPI should consider peer support and coping strategies when promoting the psychosocial functioning of these youth.
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