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Assessment of Spinal Curvatures in Children With Upper Trunk Obstetrical Brachial Plexus Palsy

Sevim Acaröz Candan1, Tüzün Fırat, Ayşe Livanelioğlu

  • 1Department of Physiotherapy and Rehabilitation (Dr Candan), Faculty of Health Sciences, Ordu University, Ordu, Turkey; Department of Physiotherapy and Rehabilitation (Drs Fırat and Livanelioğlu), Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|March 26, 2019
PubMed

Insights

Obstetrical brachial plexus palsy (OBPP) can impact spinal alignment, particularly in the frontal plane. Reduced shoulder external rotation in affected children may contribute to the development of thoracal scoliosis.

Area of Science:

  • Pediatrics
  • Orthopedics
  • Neurology

Background:

  • Obstetrical brachial plexus palsy (OBPP) affects nerve function in the upper trunk.
  • Spinal curvature changes and their relation to upper limb movements in OBPP are not well-documented.

Purpose of the Study:

  • To investigate spinal curvature in children with upper trunk OBPP.
  • To explore the relationship between spinal curvature and upper limb movement in this population.

Main Methods:

  • Spinal Mouse was utilized for assessing spinal curvature in sagittal and frontal planes.
  • Active Movement Scale was employed to evaluate upper limb movements in the study group.

Main Results:

  • Children with OBPP exhibited greater frontal plane spinal curvatures.
  • 44% of OBPP children had thoracal C-shaped scoliosis, often contralateral.
  • Reduced shoulder external rotation and elbow flexion were observed in OBPP children with scoliosis.

Conclusions:

  • Upper trunk OBPP is associated with altered frontal plane spinal alignment.
  • Compensatory trunk movements, indicated by insufficient shoulder external rotation, may lead to thoracal scoliosis.
Abstract

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