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The Relationship between Trunk Control and Upper Extremity Function in Children with Obstetric Brachial Plexus Palsy
Gülay Çelik1, Kıvanç Delioğlu1, Tüzün Fırat1
1Hacettepe University, Ankara, Turkey.
Developmental Neurorehabilitation
|July 31, 2020
Summary
Children with obstetric brachial plexus palsy (OBPP) show decreased sitting skills and trunk control correlating with injury severity. Improved trunk control is vital for enhancing upper extremity function in these children.
Area of Science:
- Pediatric rehabilitation
- Neuromuscular disorders
- Child development
Background:
- Obstetric brachial plexus palsy (OBPP) is a birth-related nerve injury affecting infant upper limbs.
- Impaired trunk control and sitting balance are common in children with OBPP, impacting overall motor development.
- Understanding the relationship between trunk control and upper extremity function is crucial for targeted interventions.
Purpose of the Study:
- To evaluate sitting skills and trunk control in infants with OBPP.
- To determine the correlation between injury severity and sitting/trunk control abilities.
- To investigate how sitting skills and trunk control influence upper extremity function in OBPP.
Main Methods:
- 106 infants (10-18 months) with OBPP were assessed.
- Narakas Classification determined injury severity.
- Standardized scales measured sitting skills (GMFM Sitting), trunk control (Sitting Assessment Scale), and upper extremity function (AMS, Mallet Score).
Main Results:
- Higher OBPP injury severity correlated with poorer sitting skills and trunk control (p < .0001).
- Reduced sitting skills and trunk control were significantly associated with diminished upper extremity function (p < .0001).
Conclusions:
- Trunk control is a critical factor in upper extremity functional outcomes for children with OBPP.
- Rehabilitation strategies should integrate trunk-focused exercises alongside extremity-based interventions.
- Early intervention addressing trunk stability may improve long-term upper limb function in OBPP.
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