Related Experiment Video

Updated: Aug 4, 2025

Methods for In Vivo Biomechanical Testing on Brachial Plexus in Neonatal Piglets
06:51

Methods for In Vivo Biomechanical Testing on Brachial Plexus in Neonatal Piglets

Published on: December 19, 2019

6.1K

Frequency, facilitators, and barriers for range of motion to prevent shoulder contracture in brachial plexus birth

Jennifer Wingrat1,2, Matthew J Elrick3

  • 1Department of Occupational Therapy and Occupational Science, Towson University, Towson, MD, USA.

Journal of Pediatric Rehabilitation Medicine
|April 3, 2023
PubMed

Insights

Consistent passive range of motion (PROM) in the first year may prevent shoulder contractures in infants with brachial plexus birth injury (BPBI). Integrating PROM into daily routines aids adherence, while family factors can pose challenges.

Area of Science:

  • Pediatrics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Brachial plexus birth injury (BPBI) can lead to shoulder contractures.
  • Early intervention is crucial for managing BPBI complications.
  • Passive range of motion (PROM) is a common therapeutic intervention.

Purpose of the Study:

  • To evaluate the effectiveness of PROM in preventing shoulder contractures in infants with BPBI during their first year.
  • To identify factors that help or hinder caregiver adherence to daily PROM exercises.

Main Methods:

  • A pilot study involving five caregivers of children with upper trunk BPBI.
  • Retrospective interviews to assess PROM frequency, facilitators, and barriers.
  • Review of medical records for adherence and contracture development by age one.

Main Results:

  • Three out of five children developed shoulder contractures, all with delayed or inconsistent PROM.
  • Two children without contractures received consistent PROM throughout their first year.
  • Consistent daily routine facilitated adherence; family context presented barriers.

Conclusions:

  • Consistent PROM in the first year of life may be linked to the absence of shoulder contractures.
  • Adherence to PROM can be improved by considering family routines and context.
Abstract

Keywords:
Brachial plexus birth injurycaregiver adherencecontracture preventionpassive range of motion

More Related Videos

Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction09:14

Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction

Published on: September 28, 2019

11.5K
Structured Motor Rehabilitation After Selective Nerve Transfers09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

22.3K

Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
1.1K
Muscle Coordination and Action01:24

Muscle Coordination and Action

Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
1.6K
Muscles that Move the Arm01:31

Muscles that Move the Arm

Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
2.0K
Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
4.1K
Muscles that Move the Forearm01:16

Muscles that Move the Forearm

The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
1.7K