Home-based movement therapy in neonatal brachial plexus palsy: A case study

Area of Science:

• Neurology
• Physical Therapy
• Rehabilitation Medicine

Background:

• The efficacy of movement-based therapy for peripheral nerve injuries like neonatal brachial plexus palsy (NBPP) remains uncertain.
• NBPP can lead to significant long-term motor deficits.

Observation:

• A 17-year-old female with right NBPP pan-plexopathy participated in a home-based movement therapy program.
• The program involved 1 hour/day, 5 days/week of arm reaching and object manipulation tasks for 6 weeks.
• Performance was monitored using recording devices, with periodic webcam supervision.

Findings:

• Significant improvements were observed in active range of motion for shoulder flexion (13°) and elbow extension (9°).
• Functional abilities, reach movement duration, and movement coordination also showed marked improvement post-therapy.

Implications:

• Home-based movement therapy demonstrates potential for improving motor function in individuals with NBPP, even years after the initial injury.
• This case report suggests a viable, accessible therapeutic option for long-term NBPP management.